| Entity Name: | SOUTHEAST WELLNESS LANE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTHEAST WELLNESS LANE CORP is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Mar 2019 (6 years ago) |
| Document Number: | P19000021050 |
| FEI/EIN Number |
83-3989947
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13265 SW 39TH ST, DAVIE, FL, 33330, US |
| Mail Address: | 13265 SW 39TH ST, DAVIE, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962962316 | 2019-03-21 | 2019-03-21 | 13265 SW 39TH ST, DAVIE, FL, 333304748, US | 13265 SW 39TH ST, DAVIE, FL, 333304748, US | |||||||||||||||||||
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| Phone | +1 786-493-2293 |
Authorized person
| Name | DR. YURI SALAS ESPINOSA |
| Role | PRESIDENT |
| Phone | 7864932293 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006456700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALAS ESPINOSA YURI | President | 13265 SW 39TH ST, DAVIE, FL, 33330 |
| SALAS ESPINOSA YURI | Agent | 13265 SW 39TH ST, DAVIE, FL, 33330 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000046107 | THE LONGEVITY AND OPTIMIZATION CLINIC | ACTIVE | 2025-04-03 | 2030-12-31 | - | 16638 SADDLE CLUB RD, WESTON, FL, 33326 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-02-19 |
| Domestic Profit | 2019-03-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
