Entity Name: | NEXT LEVEL WELLNESS CENTER, CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 22 Jul 2019 (6 years ago) |
Document Number: | P19000059582 |
FEI/EIN Number | 84-2322512 |
Address: | 501 SE 2nd Street, Ft. Lauderdale, FL, 33301, US |
Mail Address: | 501 SE 2nd Street, Ft. Lauderdale, FL, 33301, US |
ZIP code: | 33301 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326600552 | 2019-07-09 | 2019-07-09 | 16900 N BAY RD APT 1707, SUNNY ISLES BEACH, FL, 331604270, US | 8241 S US HIGHWAY 1, PORT ST LUCIE, FL, 349522848, US | |||||||||||||||||||||||||||
|
Phone | +1 772-971-6417 |
Fax | 8882935884 |
Authorized person
Name | MR. PATRICK A. CASTHELY |
Role | CEO |
Phone | 7729716417 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
Is Primary | No |
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
Is Primary | No |
Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
Is Primary | No |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CASTHELY PATRICK A | Agent | 501 SE 2nd Street, Ft. Lauderdale, FL, 33301 |
Name | Role | Address |
---|---|---|
CASTHELY PATRICK APhd | Chief Executive Officer | 501 SE 2nd Street, Ft. Lauderdale, FL, 33301 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-12 | 501 SE 2nd Street, 1336, Ft. Lauderdale, FL 33301 | No data |
CHANGE OF MAILING ADDRESS | 2022-03-12 | 501 SE 2nd Street, 1336, Ft. Lauderdale, FL 33301 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-12 | 501 SE 2nd Street, 1336, Ft. Lauderdale, FL 33301 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-08 |
ANNUAL REPORT | 2023-04-01 |
ANNUAL REPORT | 2022-03-12 |
ANNUAL REPORT | 2021-02-06 |
ANNUAL REPORT | 2020-01-29 |
Domestic Profit | 2019-07-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State