| Entity Name: | LIVING WELL MEDICAL GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Oct 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Jul 2021 (4 years ago) |
| Document Number: | P18000085604 |
| FEI/EIN Number | 83-2440856 |
| Address: | 344 W 65 ST, STE# 201, HIALEAH, FL, 33012, US |
| Mail Address: | 344 W 65 ST, #201, HIALEAH, FL, 33012, UN |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477021574 | 2018-11-06 | 2022-06-06 | 344 W 65TH ST STE 201, HIALEAH, FL, 330126719, US | 344 W 65TH ST STE 201, HIALEAH, FL, 330126719, US | |||||||||||||||||
|
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| Phone | +1 786-216-5570 |
Authorized person
| Name | MAIRIM GONZALEZ |
| Role | PRESIDENT |
| Phone | 7862165570 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ MAIRIM | Agent | 344 W 65 ST, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ MAIRIM | President | 344 W 65 ST STE# 201, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| GARCIA ALEXANDER | Vice President | 344 W 65 ST #201, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-07-19 | No data | No data |
| AMENDMENT | 2020-01-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-06-06 |
| Amendment | 2021-07-19 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-09-02 |
| Amendment | 2020-01-22 |
| ANNUAL REPORT | 2019-06-19 |
| Domestic Profit | 2018-10-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
