Entity Name: | LONGEVITY CENTER OF FORT MYERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 12 Dec 2003 (21 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | P03000150732 |
FEI/EIN Number | 200501644 |
Address: | 12621 NEW BRITTANY BLVD, FORT MYERS, FL, 33907 |
Mail Address: | 12621 NEW BRITTANY BLVD, FORT MYERS, FL, 33907 |
ZIP code: | 33907 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245352194 | 2007-04-04 | 2020-08-22 | 12621 NEW BRITTANY BLVD., BLD 17, FORT MYERS, FL, 33907, US | 12621 NEW BRITTANY BLVD, BLD 17, FORT MYERS, FL, 339073631, US | |||||||||||||||||||
|
Phone | +1 239-274-6188 |
Fax | 2392746186 |
Authorized person
Name | CAROL S LEVEQUE |
Role | VICE PRESIDENT |
Phone | 2302746188 |
Taxonomy
Taxonomy Code | 171100000X - Acupuncturist |
License Number | AP 914 |
State | FL |
Is Primary | Yes |
Name | Role |
---|---|
INCORPORATE USA, INC. | Agent |
Name | Role | Address |
---|---|---|
LEVEQUE MICHAEL L | President | 12621 NEW BRITTANY BLVD., FORT MYERS, FL, 33907 |
Name | Role | Address |
---|---|---|
LEVEQUE CAROL S | Vice President | 12621 NEW BRITTANY BLVD., FORT MYERS, FL, 33907 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2004-05-20 | 12621 NEW BRITTANY BLVD, FORT MYERS, FL 33907 | No data |
CHANGE OF MAILING ADDRESS | 2004-05-20 | 12621 NEW BRITTANY BLVD, FORT MYERS, FL 33907 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2009-04-07 |
ANNUAL REPORT | 2008-04-10 |
ANNUAL REPORT | 2007-04-09 |
ANNUAL REPORT | 2006-02-27 |
ANNUAL REPORT | 2005-02-08 |
ANNUAL REPORT | 2004-02-17 |
Domestic Profit | 2003-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State