| Entity Name: | MEDICAL WELLNESS INSTITUTE OF AMERICA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 May 2011 (14 years ago) |
| Date of dissolution: | 04 Nov 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Nov 2012 (12 years ago) |
| Document Number: | P11000050238 |
| FEI/EIN Number | 320341626 |
| Address: | 3575 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32563 |
| Mail Address: | 3575 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32563 |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396013272 | 2011-12-07 | 2011-12-09 | 3575 GULF BREEZE PKWY, GULF BREEZE, FL, 325633407, US | 3575 GULF BREEZE PKWY, GULF BREEZE, FL, 325633407, US | |||||||||||||||||||
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| Phone | +1 850-932-5767 |
| Fax | 8509325774 |
Authorized person
| Name | JOHN MARK FANNIN |
| Role | PRESIDENT |
| Phone | 8509325767 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME96388 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FANNIN JOHN M | Agent | 4276 WALDEN WAY, GULF BREEZE, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| FANNIN JOHN M | President | 4276 WALDEN WAY, GULF BREEZE, FL, 32563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-11-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-08 | 3575 GULF BREEZE PARKWAY, GULF BREEZE, FL 32563 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-08 | 3575 GULF BREEZE PARKWAY, GULF BREEZE, FL 32563 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-11-04 |
| ANNUAL REPORT | 2012-02-08 |
| Domestic Profit | 2011-05-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
