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