| Entity Name: | LUNA MEDICAL & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Mar 2022 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 05 Apr 2022 (3 years ago) |
| Document Number: | L22000108933 |
| FEI/EIN Number | 88-0982321 |
| Address: | 8900 SW 107 AVENUE, MIAMI, FL, 33176, US |
| Mail Address: | 8900 SW 107 AVENUE, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013644590 | 2022-08-04 | 2023-02-12 | 8900 SW 107TH AVE STE 200, MIAMI, FL, 331761451, US | 8900 SW 107TH AVE STE 200, MIAMI, FL, 331761451, US | |||||||||||||||||
|
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| Phone | +1 786-570-9928 |
Authorized person
| Name | MR. FRANK ELISSALT |
| Role | OWNER |
| Phone | 7865709928 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELISSALT FRANK | Agent | 8900 SW 107 AVENUE, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| ELISSALT FRANK | Manager | 8900 SW 107 AVENUE, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-08 | 8900 SW 107 AVENUE, SUITE 200, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-08 | 8900 SW 107 AVENUE, SUITE 200, MIAMI, FL 33176 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-08 | ELISSALT, FRANK | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-08 | 8900 SW 107 AVENUE, SUITE 200, MIAMI, FL 33176 | No data |
| LC NAME CHANGE | 2022-04-05 | LUNA MEDICAL & WELLNESS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-08 |
| LC Name Change | 2022-04-05 |
| Florida Limited Liability | 2022-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
