| Entity Name: | BRANDBODYWORKS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jun 2015 (10 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: | P15000053493 |
| FEI/EIN Number | 47-4305811 |
| Address: | 3450 62nd Ave N, Pinellas Park, FL, 33781, US |
| Mail Address: | 3450 62nd Ave, N, Pinellas Park, FL, 33781, US |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366940017 | 2018-01-29 | 2019-06-11 | 5047 CENTRAL AVE, ST PETERSBURG, FL, 337108240, US | 5047 CENTRAL AVE, ST PETERSBURG, FL, 33710, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-202-8685 |
| Fax | 7272088716 |
Authorized person
| Name | MR. KARL ROBERTS-ROSENBERG |
| Role | CEO |
| Phone | 7278222437 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MM37612 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000873200 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 0539414 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSENBERG KARL-JASON LMT | Agent | 3450 62nd Ave, N, Pinellas Park, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| Roberts-Rosenberg Karl LMT | Chief Executive Officer | 3450 62nd Ave, N, Pinellas Park, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| Rosenberg Tyrone | Chief Financial Officer | 3450 62nd Ave, N, Pinellas Park, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 3450 62nd Ave N, Pinellas Park, FL 33781 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 3450 62nd Ave N, Pinellas Park, FL 33781 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 3450 62nd Ave, N, Pinellas Park, FL 33781 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-05-01 |
| Domestic Profit | 2015-06-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
