Entity Name: | QUICK START WEIGHT LOSS & WELLNESS CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 24 Sep 2021 (3 years ago) |
Document Number: | P21000084215 |
FEI/EIN Number | 87-2855649 |
Address: | 4577 WATKINS STREET, PACE, FL, 32571, US |
Mail Address: | 5264 EMERALD DRIVE, PACE, FL, 32571, US |
ZIP code: | 32571 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336811272 | 2021-09-29 | 2021-09-29 | 5264 EMERALD DR, PACE, FL, 325719067, US | 4577 WATKINS ST, PACE, FL, 325712511, US | |||||||||||||||||||
|
Phone | +1 850-816-8889 |
Phone | +1 850-910-4021 |
Authorized person
Name | LAURA MAUPIN |
Role | PRESIDENT |
Phone | 8509104021 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
MAUPIN LAURA | Agent | 4577 WATKINS STREET, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
MAUPIN LAURA | President | 5264 EMERALD DRIVE, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
MAUPIN LAURA | Secretary | 5264 EMERALD DRIVE, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
MAUPIN Kevin | Vice President | 5264 EMERALD DRIVE, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
MAUPIN LAURA | Treasurer | 5264 EMERALD DRIVE, PACE, FL, 32571 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-15 |
ANNUAL REPORT | 2023-04-03 |
ANNUAL REPORT | 2022-03-09 |
Domestic Profit | 2021-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State