| Entity Name: | LIVING WELL MANAGEMENT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jun 2018 (7 years ago) |
| Date of dissolution: | 14 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Apr 2023 (2 years ago) |
| Document Number: | P18000052316 |
| FEI/EIN Number | 831453487 |
| Address: | 8725 NW 18 TER, MIAMI, FL, 33172, US |
| Mail Address: | 8725 NW 18 TER, MIAMI, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134782154 | 2019-04-16 | 2021-10-06 | 8725 NW 18TH TER STE 102, DORAL, FL, 331722629, US | 3601 W COMMERCIAL BLVD STE 21, FORT LAUDERDALE, FL, 333093320, US | |||||||||||||||||||||||||||
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| Phone | +1 305-342-8736 |
| Phone | +1 954-909-0407 |
| Fax | 9549090408 |
Authorized person
| Name | JOEL ALEJO QUINTERO |
| Role | CEO |
| Phone | 3053428736 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 34545 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALEJO QUINTERO JOEL | Agent | 8725 NW 18 TER, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| ALEJO QUINTERO JOEL | President | 8725 NW 18 TER, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| Martinez Manuel Sr. | Vice President | 45-625 Citrus Ave, Indio, CA, 92201 |
| Name | Role | Address |
|---|---|---|
| Lazara Abdala Ivette | Secretary | 10026 NW 4 LN, Miami, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| Santana Ramirez Baldomero | Treasurer | 19111 NW 11th Street, Pembroke Pines, FL, 33202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-01 | ALEJO QUINTERO, JOEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-18 | 8725 NW 18 TER, SUITE-102, MIAMI, FL 33172 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-04 | 8725 NW 18 TER, SUITE 102, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-04 | 8725 NW 18 TER, SUITE 102, MIAMI, FL 33172 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-14 |
| AMENDED ANNUAL REPORT | 2022-10-21 |
| AMENDED ANNUAL REPORT | 2022-10-20 |
| ANNUAL REPORT | 2022-02-01 |
| AMENDED ANNUAL REPORT | 2021-10-18 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-01-13 |
| Reg. Agent Change | 2019-02-14 |
| ANNUAL REPORT | 2019-02-05 |
| Domestic Profit | 2018-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
