| Entity Name: | EXCELLIFE INTEGRATIVE CARE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Nov 2022 (2 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | P22000088352 |
| FEI/EIN Number | 921199385 |
| Address: | 4772 US-19, NEW PORT RICHEY, FL, 34652, US |
| Mail Address: | 4772 US-19, NEW PORT RICHEY, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780399733 | 2023-01-13 | 2023-11-24 | 4772 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524944, US | 4774 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524944, US | |||||||||||||
|
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| Phone | +1 727-297-9779 |
Authorized person
| Name | ARIEL DIAZ |
| Role | PRESIDENT/ADMINISTRATOR |
| Phone | 7273124042 |
Taxonomy
| Taxonomy Code | 202D00000X - Integrative Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARIEL DIAZ | Agent | 4939 FLORAMAR TER, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| DIAZ ARIEL | President | 4939 FLORAMAR TER APT 408, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| DIAZ MAITE DR. | Vice President | 4939 FLORAMAR TER APT 408, NEW PORT RICHEY, FL, 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-10-30 | EXCELLIFE INTEGRATIVE CARE, CORP. | No data |
| AMENDMENT AND NAME CHANGE | 2023-10-10 | EXELLIFE INTEGRATIVE CARE, CORP. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-10 | 4772 US-19, NEW PORT RICHEY, FL 34652 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-10 | 4772 US-19, NEW PORT RICHEY, FL 34652 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| Name Change | 2023-10-30 |
| Amendment and Name Change | 2023-10-10 |
| Domestic Profit | 2022-11-28 |
| Off/Dir Resignation | 2022-11-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
