Entity Name: | LIVE WELL DPC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 18 Mar 2024 (a year ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 04 Sep 2024 (5 months ago) |
Document Number: | L24000131765 |
Address: | 1509 RIDGEWOOD LANE, SARASOTA, FL, 34231, US |
Mail Address: | 1509 RIDGEWOOD LANE, SARASOTA, FL, 34231, US |
ZIP code: | 34231 |
County: | Sarasota |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275365066 | 2024-08-19 | 2024-08-19 | 1528 S TUTTLE AVE, SARASOTA, FL, 342392607, US | 1528 S TUTTLE AVE, SARASOTA, FL, 342392607, US | |||||||||||||||
|
Phone | +1 941-529-7770 |
Fax | 9415297775 |
Authorized person
Name | JULIE DOOLEY |
Role | MANAGER |
Phone | 9415297770 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DOOLEY JULIE A | Agent | 1528 S. TUTTLE AVENUE, SARASOTA, FL, 34239 |
Name | Role | Address |
---|---|---|
DOOLEY JULIE A | Managing Member | 1509 RIDGEWOOD LANE, SARASOTA, FL, 34231 |
MARTINEZ FRANZEN RACHEL M | Managing Member | 20543 TRATTORIA LOOP, VENICE, FL, 34293 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2024-09-04 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-09-04 | 1528 S. TUTTLE AVENUE, SARASOTA, FL 34239 | No data |
LC AMENDMENT | 2024-05-20 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2024-05-20 | DOOLEY, JULIE A | No data |
Name | Date |
---|---|
LC Amendment | 2024-09-04 |
LC Amendment | 2024-05-20 |
Florida Limited Liability | 2024-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State