| Entity Name: | MULBERRY ORIENTAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 2005 (19 years ago) |
| Document Number: | P05000112602 |
| FEI/EIN Number | 251923674 |
| Address: | 910 OLD CAMP ROAD, #192, LADY LAKE, FL, 32162, US |
| Mail Address: | 910 OLD CAMP ROAD, #192, LADY LAKE, FL, 32162, US |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407029820 | 2008-04-07 | 2009-06-24 | 910 OLD CAMP RD, #164, LADY LAKE, FL, 321625604, US | 910 OLD CAMP RD, #164, LADY LAKE, FL, 321625604, US | |||||||||||||||||||||||
|
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| Phone | +1 352-430-2720 |
| Fax | 3524302724 |
Authorized person
| Name | CHRISTOPHER CHESHIRE |
| Role | CLINIC DIRECTOR |
| Phone | 3524302720 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2152 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| MURDOCK MEREDITH | President | 910 OLD CAMP ROAD #192, LADY LAKE, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| Cheshire Christopher | Vice President | 910 OLD CAMP ROAD, LADY LAKE, FL, 32162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000128105 | MULBERRY INTEGRATIVE MEDICINE | ACTIVE | 2011-12-29 | 2026-12-31 | No data | 910 OLD CAMP ROAD, #192, THE VILLAGES, FL, 32162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-22 | 910 OLD CAMP ROAD, #192, LADY LAKE, FL 32162 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-22 | 910 OLD CAMP ROAD, #192, LADY LAKE, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-02-22 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
