| Entity Name: | BLUEWATER INFUSION CLINIC INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Dec 2021 (3 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 11 Apr 2023 (2 years ago) |
| Document Number: | P21000104241 |
| FEI/EIN Number | 87-4069890 |
| Address: | 921 Mar Walt Dr., Fort Walton Beach, FL, 32547, US |
| Mail Address: | 14965 ST HWY 59, SUITE 102, FOLEY, AL, 36535, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740969252 | 2023-07-12 | 2023-08-15 | 921 MAR WALT DR, FORT WALTON BEACH, FL, 325476653, US | 921 MAR WALT DR, FORT WALTON BEACH, FL, 325476653, US | |||||||||||||||
|
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| Phone | +1 850-388-4333 |
| Fax | 8503884338 |
Authorized person
| Name | TIMOTHY MIXON |
| Role | OWNER |
| Phone | 2519235537 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MIXON TIMOTHY R | Director | 14965 HWY 59, FOLEY, AL, 36535 |
| Name | Role | Address |
|---|---|---|
| MIXON TIMOTHY R | President | 14965 HWY 59, FOLEY, AL, 36535 |
| Name | Role | Address |
|---|---|---|
| MIXON TIMOTHY R | Treasurer | 14965 HWY 59, FOLEY, AL, 36535 |
| Name | Role | Address |
|---|---|---|
| MIXON KERI | Secretary | 14965 St Hwy 59, Foley, AL, 36535 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-16 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-28 | 921 Mar Walt Dr., Fort Walton Beach, FL 32547 | No data |
| NAME CHANGE AMENDMENT | 2023-04-11 | BLUEWATER INFUSION CLINIC INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| Name Change | 2023-04-11 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-01-27 |
| Domestic Profit | 2021-12-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
