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LIFE WELLNESS GROUP, CORP

Company Details

Entity Name: LIFE WELLNESS GROUP, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 May 2023 (2 years ago)
Document Number: P23000036890
FEI/EIN Number 93-1754570
Address: 14261 COMMERCE WAY, 203, MIAMI LAKES, FL, 33016
Mail Address: 14261 COMMERCE WAY, 203, MIAMI LAKES, FL, 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952178345 2023-12-06 2023-12-06 14261 COMMERCE WAY STE 203, MIAMI LAKES, FL, 330161647, US 14261 COMMERCE WAY STE 203, MIAMI LAKES, FL, 330161647, US

Contacts

Phone +1 305-698-4000
Fax 3056984014

Authorized person

Name GARY ROBERTSON
Role OWNER
Phone 3056984000

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes
Taxonomy Code 111NX0800X - Orthopedic Chiropractor
Is Primary No
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No

Agent

Name Role
TAX CENTER USA, LLC Agent

President

Name Role Address
ROBERTSON GARY President 14261 COMMERCE WAY, MIAMI LAKES, FL, 33016

Documents

Name Date
ANNUAL REPORT 2024-04-25
Domestic Profit 2023-05-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State