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LONGEVITY CENTER OF FORT MYERS, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
INCORPORATE USA, INC. Agent

President

Name Role Address
LEVEQUE MICHAEL L President 12621 NEW BRITTANY BLVD., FORT MYERS, FL, 33907

Vice President

Name Role Address
LEVEQUE CAROL S Vice President 12621 NEW BRITTANY BLVD., FORT MYERS, FL, 33907

Events

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

Documents

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