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JESSICA A. WILKS, RD, LDN, INC.

Company Details

Entity Name: JESSICA A. WILKS, RD, LDN, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Jun 2014 (11 years ago)
Date of dissolution: 07 Nov 2016 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Nov 2016 (8 years ago)
Document Number: P14000049441
FEI/EIN Number 47-1079526
Address: 1862 SE MORNINGSIDE BLVD, PORT ST. LUCIE, FL 34952
Mail Address: 1862 SE MORNINGSIDE BLVD, PORT ST. LUCIE, FL 34952
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528473089 2014-06-24 2014-06-24 1862 SE MORNINGSIDE BLVD, PORT ST LUCIE, FL, 349528818, US 2030 SE OCEAN BLVD, STUART, FL, 349963304, US

Contacts

Phone +1 772-626-4484

Authorized person

Name JESSICA WILKS
Role OWNER/PRESIDENT
Phone 7726264484

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number ND 6950
State FL
Is Primary Yes

Agent

Name Role Address
WILKS, JESSICA A Agent 1862 SE MORNINGSIDE BLVD, PORT ST. LUCIE, FL 34952

President

Name Role Address
WILKS, JESSICA A President 1862 SE MORNINGSIDE BLVD, PORT ST. LUCIE, FL 34952

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-11-07 No data No data

Documents

Name Date
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-23
Domestic Profit 2014-06-05

Date of last update: 20 Feb 2025

Sources: Florida Department of State