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LIFESTYLE HEALTH & WELLNESS MEDICAL GROUP, INC. - Florida Company Profile

Company Details

Entity Name: LIFESTYLE HEALTH & WELLNESS MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Mar 2020 (5 years ago)
Document Number: N20000003621
FEI/EIN Number 83-2888302

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5414 RIVERMILL LANE, LAKE WORTH, FL, 33463, UN
Mail Address: 5414 RIVERMILL LANE, LAKE WORTH, FL, 33463, UN
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043801947 2021-02-02 2024-02-20 8927 HYPOLUXO RD STE A4, LAKE WORTH, FL, 334675249, US 5414 RIVERMILL LN, LAKE WORTH, FL, 334637439, US

Contacts

Phone +1 561-706-4392

Authorized person

Name MRS. MARJORIE COLLINS
Role PRESIDENT
Phone 5617064392

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Key Officers & Management

Name Role Address
COLLINS MARJORIE Chief Executive Officer 5414 RIVERMILL LANE, LAKE WORTH, FL, 33463
COLLINS DAVID offi 5414 RIVERMILL LANE, LAKE WORTH, FL, 33463
COLLINS MARJORIE Agent 5414 RIVERMILL LANE, LAKE WORTH, FL, 33463

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-11
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-02-17
Domestic Non-Profit 2020-03-31

Date of last update: 01 Mar 2025

Sources: Florida Department of State