| Entity Name: | MEDICAL AND WELLNESS CENTER OF MELROSE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Sep 2008 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P08000082524 |
| FEI/EIN Number | 800295801 |
| Address: | 1745 STATE ROAD 100, MELROSE, FL, 32666 |
| Mail Address: | 1745 STATE ROAD 100, MELROSE, FL, 32666 |
| ZIP code: | 32666 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770722936 | 2009-02-11 | 2014-07-16 | 1745 SR 100, MELROSE, FL, 32666, US | 1745 SR 100, MELROSE, FL, 32666, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 352-478-2471 |
| Fax | 3524782496 |
| Phone | +1 954-854-4290 |
Authorized person
| Name | MS. KENYETTA LATRICE REESE |
| Role | PRESIDENT/CEO |
| Phone | 3524782471 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ACN205 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ARNP780412 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REESE KENYETTA L | Agent | 1745 STATE ROAD 100, MELROSE, FL, 32666 |
| Name | Role | Address |
|---|---|---|
| REESE KENYETTA L | President | 1745 STATE ROAD 100, MELROSE, FL, 32666 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2014-04-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-15 | REESE, KENYETTA L | No data |
| Name | Date |
|---|---|
| Amendment | 2014-04-15 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-04-03 |
| ANNUAL REPORT | 2009-03-09 |
| Domestic Profit | 2008-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
