| Entity Name: | NATURAL MEDICINE & WELLNESS CENTER OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Jun 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P05000084491 |
| FEI/EIN Number | 202892697 |
| Address: | 8075 GATE PARKWAY WEST, SUITE 302, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 8075 GATE PARKWAY WEST, SUITE 302, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760438121 | 2006-05-26 | 2020-08-22 | 4237 SALISBURY ROAD NORTH, SUITE 110, JACKSONVILLE, FL, 32216, US | 4237 SALISBURY ROAD NORTH, SUITE 110, JACKSONVILLE, FL, 32216, US | |||||||||||||||||||
|
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| Phone | +1 904-296-1116 |
| Fax | 9042961467 |
Authorized person
| Name | DR. ALFONSO M BREMER |
| Role | MEDICAL DIRECTOR |
| Phone | 9042961116 |
Taxonomy
| Taxonomy Code | 2083P0500X - Preventive Medicine/Occupational Environmental Medicine Physician |
| License Number | HCC6915 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAYNE PATSY | Agent | 11873 OLDE OAKS CRT, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| LAYNE PATSY | President | 11873 OLDE OAKS COURT, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| LAYNE PATSY | Secretary | 11873 OLDE OAKS COURT, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| LAYNE PATSY | Director | 11873 OLDE OAKS COURT, JACKSONVILLE, FL, 32223 |
| LAYNE THAD | Director | 11873 OLDE OAKS COURT, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| LAYNE THAD | Treasurer | 11873 OLDE OAKS COURT, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-19 | 8075 GATE PARKWAY WEST, SUITE 302, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-19 | 8075 GATE PARKWAY WEST, SUITE 302, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-06-16 | 11873 OLDE OAKS CRT, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-03-19 |
| ANNUAL REPORT | 2006-06-16 |
| Domestic Profit | 2005-06-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
