Entity Name: | WELLNESS & METABOLIC MEDICAL CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 01 Dec 2006 (18 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P06000149476 |
FEI/EIN Number | 208260008 |
Address: | 301 SKYLINE DRIVE, LADY LAKE, FL, 32159 |
Mail Address: | 301 SKYLINE DRIVE, LADY LAKE, FL, 32159 |
ZIP code: | 32159 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144427071 | 2007-07-03 | 2007-08-21 | 150 SE 17TH STREET, SUITE 702, OCALA, FL, 344715159, US | 150 SE 17TH ST, SUITE 702, OCALA, FL, 344715178, US | |||||||||||||||||||||||||
|
Phone | +1 352-671-8030 |
Fax | 3526718031 |
Authorized person
Name | DR. PAMELA ROSE LEWIN |
Role | PRESIDENT |
Phone | 3526718030 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME 0036262 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI NUMBER |
Number | 1487707436 |
State | FL |
Name | Role | Address |
---|---|---|
THE HEALTH LAW FIRM | Agent | 220 E. CENTRAL PARKWAY, STE. 2030, ALTAMONTE SPRINGS, FL, 32701 |
Name | Role | Address |
---|---|---|
LEWIN PAMELA R | President | 301 SKYLINE DRIVE, LADY LAKE, FL, 32159 |
Name | Role | Address |
---|---|---|
LEWIN LENA E | Secretary | 301 SKYLINE DRIVE, LADY LAKE, FL, 32159 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G10000095147 | THE WELLNESS SPOT | EXPIRED | 2010-10-18 | 2015-12-31 | No data | 303 SE 17TH ST., #309-226, OCALA, FL, 34471 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2009-04-28 | 301 SKYLINE DRIVE, LADY LAKE, FL 32159 | No data |
CHANGE OF MAILING ADDRESS | 2009-04-28 | 301 SKYLINE DRIVE, LADY LAKE, FL 32159 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-04-29 |
ANNUAL REPORT | 2010-04-26 |
ANNUAL REPORT | 2009-04-28 |
ANNUAL REPORT | 2008-03-10 |
ANNUAL REPORT | 2007-04-10 |
Domestic Profit | 2006-12-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State