| Entity Name: | FORT MYERS NUVIVA MEDICAL WEIGHT LOSS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P09000011385 |
| FEI/EIN Number | 263627068 |
| Address: | 13450 PARKER COMMONS BLVD., FT MYERS, FL, 33912, US |
| Mail Address: | 13450 PARKER COMMONS BLVD., FT MYERS, FL, 33912, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538507066 | 2013-06-06 | 2013-06-06 | 13450 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL, 339121810, US | 13450 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL, 339121810, US | |||||||||||||||||
|
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| Phone | +1 239-466-4007 |
Authorized person
| Name | ALEX JOSEPH |
| Role | CEO |
| Phone | 2394664007 |
Taxonomy
| Taxonomy Code | 207QB0002X - Obesity Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RB0002X - Obesity Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SWAN LAWRENCE | Agent | 709 CAPE CORAL PKWY WEST, CAPE CORAL, FL, 33914 |
| Name | Role | Address |
|---|---|---|
| JOSEPH ALEXANDER | President | 9230 Triana Terrace, Fort Myers, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| JOSEPH ALEXANDER | Director | 9230 Triana Terrace, Fort Myers, FL, 33912 |
| DELANEY JEFFREY ROBERT | Director | 4612 MERGANSER COURT, FT MYERS, FL, 34119 |
| ARCEMENT BRIAN | Director | 6941 Lake Devonwood Drive, FT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| DELANEY JEFFREY ROBERT | Vice President | 4612 MERGANSER COURT, FT MYERS, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| ARCEMENT BRIAN | Secretary | 6941 Lake Devonwood Drive, FT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| ARCEMENT BRIAN | Treasurer | 6941 Lake Devonwood Drive, FT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-20 | 13450 PARKER COMMONS BLVD., suite 105, FT MYERS, FL 33912 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-20 | 13450 PARKER COMMONS BLVD., suite 105, FT MYERS, FL 33912 | No data |
| NAME CHANGE AMENDMENT | 2010-09-27 | FORT MYERS NUVIVA MEDICAL WEIGHT LOSS INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-08-03 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-03-12 |
| ANNUAL REPORT | 2012-02-14 |
| ANNUAL REPORT | 2011-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
