| Entity Name: | CLEAN SLATE LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Apr 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P13000033872 |
| FEI/EIN Number | 46-2597305 |
| Address: | 931 Village Blvd., WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 931 Village Blvd., WEST PALM BEACH, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265860522 | 2013-10-24 | 2013-10-24 | 118 CANOE DR, WEST PALM BEACH, FL, 334152602, US | 118 CANOE DR, WEST PALM BEACH, FL, 334152602, US | |||||||||||||||||
|
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| Phone | +1 561-270-2361 |
Authorized person
| Name | ANGELA IACULLO |
| Role | BILLING DIRECTOR |
| Phone | 5612702361 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D2063192 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALMENDARES DENNIS | Agent | 931 Village Blvd., WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| ALMENDARES DENNIS | President | 931 Village Blvd., WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 931 Village Blvd., Suite 453, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 931 Village Blvd., Suite 453, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-28 | 931 Village Blvd., Suite 453, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-04-28 |
| Domestic Profit | 2013-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
