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EXCELLENT LIFE DESIGN CORPORATION

Company Details

Entity Name: EXCELLENT LIFE DESIGN CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 19 Feb 2013 (12 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: N13000001622
FEI/EIN Number 462096786
Address: 1540 INTERNATIONAL PARKWAY, SUITE 2000, LAKE MARY, FL, 32746
Mail Address: 1540 INTERNATIONAL PARKWAY, SUITE 2000, LAKE MARY, FL, 32746
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285976340 2013-03-26 2013-03-26 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL, 327465096, US 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL, 327465096, US

Contacts

Phone +1 407-536-5120
Fax 8102220685

Authorized person

Name RHONDA BAKER
Role CEO
Phone 4075365120

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number MT2629
State FL
Is Primary Yes

Agent

Name Role Address
BAKER RHONDA Agent 1540 INTERNATIONAL PARKWAY, LAKER MARY, FL, 32746

President

Name Role Address
BAKER RHONDA President 1540 INTERNATIONAL PARKWAY SUITE 2000, LAKE MARY, FL, 32746

ADV

Name Role Address
WHITE VENISE ADV 1540 INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746
POOLER ERICA ADV 1540 INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746
MONTES ATHENA ADV 1540 INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2015-03-02 BAKER, RHONDA No data
AMENDMENT 2013-05-09 No data No data

Documents

Name Date
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-03-02
ANNUAL REPORT 2014-04-23
Amendment 2013-05-09
Domestic Non-Profit 2013-02-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State