| Entity Name: | LIFE TREE WOMEN CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Aug 2021 (4 years ago) |
| Document Number: | P21000071787 |
| FEI/EIN Number | 87-2135838 |
| Mail Address: | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Address: | 5500 Blanding BLVD, Jacksonville, FL, 32244, US |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174284038 | 2022-01-04 | 2023-10-02 | 5500 BLANDING BLVD, JACKSONVILLE, FL, 322441946, US | 5500 BLANDING BLVD, JACKSONVILLE, FL, 322441946, US | |||||||||||||||||||||||||||
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| Phone | +1 904-379-2540 |
| Fax | 9043792541 |
Authorized person
| Name | JAMIE NEAL |
| Role | OWNER, MEDICAL PROVIDER |
| Phone | 9043792540 |
Taxonomy
| Taxonomy Code | 163WW0101X - Ambulatory Women's Health Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 261QB0400X - Birthing Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEAL DEREK J | Agent | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| NEAL DEREK J | President | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| NEAL JAMIE L | Vice President | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| NEAL DEREK J | Secretary | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| NEAL JAMIE L | Treasurer | 271 GLENLYON DRIVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-07 | 5500 Blanding BLVD, Jacksonville, FL 32244 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000633790 | ACTIVE | 16-2023-CA-011289 | DUVAL COUNTY, FLORIDA | 2024-09-10 | 2029-09-26 | $62709.32 | NORTH MILL EQUIPMENT FINANCE LLC, 601 MERRITT 7, SUITE 5, NORWALK, CONNECTICUT 06851 |
| J24000386720 | TERMINATED | 1000000999356 | DUVAL | 2024-06-17 | 2034-06-19 | $ 968.26 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-07 |
| Domestic Profit | 2021-08-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
