| 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 |
| 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 | |||||||||||||||||||||
|
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| 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 |
| 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 |
| 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
