| Entity Name: | LIVING WELL HEALTH CENTER OF CENTRAL FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jun 2020 (5 years ago) |
| Document Number: | P20000044532 |
| FEI/EIN Number | 85-1587562 |
| Address: | 4039 13TH STREET, ST. CLOUD, FL, 34769 |
| Mail Address: | 4039 13TH STREET, ST. CLOUD, FL, 34769 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861010266 | 2020-07-12 | 2020-09-30 | 4039 13TH ST, SAINT CLOUD, FL, 347696772, US | 4039 13TH ST, SAINT CLOUD, FL, 347696772, US | |||||||||||||
|
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| Phone | +1 407-957-1337 |
Authorized person
| Name | RICHARD TAKANEN |
| Role | OWNER |
| Phone | 4079571337 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAKANEN RICHARD | Agent | 4039 13TH STREET, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| TAKANEN RICHARD | Owne | 4039 13TH STREET, ST. CLOUD, FL, 34769 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| Domestic Profit | 2020-06-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
