| Entity Name: | THE LIO MISSION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 25 Mar 2002 (23 years ago) |
| Document Number: | N02000002136 |
| FEI/EIN Number | 010654320 |
| Address: | 5454 Central Avenue, ST PETERSBURG, FL, 33707, US |
| Mail Address: | 5454 Central Avenue, ST PETERSBURG, FL, 33707, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437383841 | 2009-05-13 | 2009-05-13 | 6776 54TH AVE N, SUITE C, ST PETERSBURG, FL, 337091405, US | 6776 54TH AVE N, SUITE C, ST PETERSBURG, FL, 337091405, US | |||||||||||||||
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| Phone | +1 727-547-8676 |
| Fax | 7275478757 |
Authorized person
| Name | CHERYL LYNN EDA SWEENEY |
| Role | BILLING PRESIDENT/MANAGER |
| Phone | 7272896326 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nelson Douglas | Agent | 5454 Central Avenue, ST PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| Nelson Douglas | President | 5454 Central Avenue, ST PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| Nelson Douglas | Treasurer | 5454 Central Avenue, ST PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| Palmer Stephanie | Clin | 5454 Central Avenue, ST PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| Nelson Douglas | Director | 5454 Central Avenue, ST PETERSBURG, FL, 33707 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
