| Entity Name: | PEAK HEALTH AND WELLNESS P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Dec 2015 (9 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: | P15000098400 |
| Address: | 1525 SOUTH ALAFAYA TRAIL, SUITE 102, ORLANDO, FL, 32828, US |
| Mail Address: | 1525 SOUTH ALAFAYA TRAIL, SUITE 102, ORLANDO, FL, 32828, US |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023476504 | 2016-01-29 | 2016-01-29 | 1525 S ALAFAYA TRL, SUITE 102, ORLANDO, FL, 328288926, US | 1525 S ALAFAYA TRL, SUITE 102, ORLANDO, FL, 328288926, US | |||||||||||||||||
|
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| Phone | +1 321-236-8452 |
Authorized person
| Name | DR. KENNETH THOMAS MACK |
| Role | DOCTOR |
| Phone | 3212368452 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH8704 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACK KENNETH | Agent | 1055 BALLYSHANNON PARKWAY, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| MACK KENNETH | President | 1525 SOUTH ALAFAYA TRAIL SUITE 102, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| MACK KENNETH | Secretary | 1525 SOUTH ALAFAYA TRAIL SUITE 102, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| MACK KENNETH | Treasurer | 1525 SOUTH ALAFAYA TRAIL SUITE 102, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| MACK KENNETH | Director | 1525 SOUTH ALAFAYA TRAIL SUITE 102, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
