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FIVESHINE CORPORATION

Company Details

Entity Name: FIVESHINE CORPORATION
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Jun 2023 (2 years ago)
Document Number: P23000044293
FEI/EIN Number 93-1759651
Address: 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836
Mail Address: 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836
ZIP code: 32836
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356184121 2024-06-18 2024-06-18 11506 BRIGHTSTOWE WAY, ORLANDO, FL, 328368844, US 3680 AVALON PARK EAST BLVD STE 301, ORLANDO, FL, 328289372, US

Contacts

Phone +1 407-758-9959
Phone +1 407-928-1425

Authorized person

Name JAMIE E OLOFSON
Role PRESIDENT
Phone 4079281425

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
OLOFSON, JAMIE E Agent 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836

President

Name Role Address
OLOFSON, JAMIE E President 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836

Director

Name Role Address
OLOFSON, JAMIE E Director 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836
OLOFSON, ALLISON Director 11506 BRIGHTSTOWE WAY, ORLANDO, FL 32836

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000085703 ELLIE MENTAL HEALTH ACTIVE 2023-07-21 2028-12-31 No data 11506 BRIGHTSTOWE WAY, ORLANDO, FL, 32836

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-30
Domestic Profit 2023-06-08

Date of last update: 10 Feb 2025

Sources: Florida Department of State