Entity Name: | FLORIDA WELLNESS & REHAB PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 27 Jul 2009 (16 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 28 Oct 2019 (5 years ago) |
Document Number: | P09000063407 |
FEI/EIN Number | 61-1602735 |
Address: | 1820 Wellness Lane, Building 4, Trinity, FL 34655 |
Mail Address: | 1820 Wellness Lane, Building 4, Trinity, FL 34655 |
ZIP code: | 34655 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487885737 | 2009-08-05 | 2021-04-09 | 4104 WEST LINEBAUGH AVE., TAMPA, FL, 33624, US | 4104 WEST LINEBAUGH AVE., TAMPA, FL, 33624, US | |||||||||||||||||||||||
|
Phone | +1 813-229-2225 |
Fax | 8132212225 |
Authorized person
Name | DR. STEPHEN JOHN UNGER |
Role | OWNER/CEO |
Phone | 7272648888 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207RS0010X - Sports Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
UNGER, STEPHEN | Agent | 1820 Wellness Lane, Building 4, Trinity, FL 34655 |
Name | Role | Address |
---|---|---|
UNGER, STEPHEN | President | 1820 Wellness Lane, Building 4 Trinity, FL 34655 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000036970 | JAQUA CHIROPRACTIC FWMG | ACTIVE | 2022-03-22 | 2027-12-31 | No data | 101 N FRANKLIN STREET, TAMPA, FL, 33602 |
G20000112990 | FLORIDA WELLNESS MEDICAL GROUP | ACTIVE | 2020-08-31 | 2025-12-31 | No data | 4104 W. LINEBAUGH AVE, TAMPA, FL, 33624 |
G20000026116 | FLORIDA WELLNESS MEDICAL GROUP | ACTIVE | 2020-02-27 | 2025-12-31 | No data | 4104 LINEBAUGH AVE, TAMPA, FL, 33624 |
G16000105611 | BEACH BODY CLINIC | EXPIRED | 2016-09-28 | 2021-12-31 | No data | 4104 W LINEBAUGH AVE, TAMPA, FL, 33624 |
G14000025366 | FLORIDA WELLNESS MEDICAL GROUP | EXPIRED | 2014-03-11 | 2019-12-31 | No data | 101 N. FRANKLIN ST., SUITE A, TAMPA, FL, 33602 |
G13000086608 | FLORIDA WELLNESS AND REHAB | EXPIRED | 2013-08-30 | 2018-12-31 | No data | 101 N. FRANKLIN STREET, SUITE A, TAMPA, FL, 33602 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-05-31 | 1820 Wellness Lane, Building 4, Trinity, FL 34655 | No data |
CHANGE OF MAILING ADDRESS | 2024-05-31 | 1820 Wellness Lane, Building 4, Trinity, FL 34655 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-05-31 | 1820 Wellness Lane, Building 4, Trinity, FL 34655 | No data |
AMENDMENT | 2019-10-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-10-28 | UNGER, STEPHEN | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J24000053031 | ACTIVE | 1000000977535 | HILLSBOROU | 2024-01-23 | 2034-01-24 | $ 1,876.88 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
J23000495150 | ACTIVE | 1000000966189 | HILLSBOROU | 2023-10-06 | 2033-10-18 | $ 13,850.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-31 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-02-24 |
ANNUAL REPORT | 2020-02-27 |
Amendment | 2019-10-28 |
ANNUAL REPORT | 2019-02-08 |
ANNUAL REPORT | 2018-01-09 |
ANNUAL REPORT | 2017-01-06 |
ANNUAL REPORT | 2016-01-15 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State