| Entity Name: | LOTUS LIFESTYLE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Jun 2023 (2 years ago) |
| Document Number: | P23000046687 |
| FEI/EIN Number | 93-2195610 |
| Address: | 7901 4th St N STE 300, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4th St N STE 300, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659123933 | 2024-04-02 | 2024-04-02 | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | |||||||||||||
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| Phone | +1 813-419-2656 |
Authorized person
| Name | DR. CHRISTINA CHERIAN |
| Role | CEO |
| Phone | 8133852603 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHERIAN, CHRISTINA | Agent | 6901 DUNNETT AVE N, ST. PETERSBURG, FL 33709 |
| Name | Role | Address |
|---|---|---|
| Cherian, Christina | Chief Executive Officer | 6901 DUNNETT AVE N, ST. PETERSBURG, FL 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 7901 4th St N STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 7901 4th St N STE 300, ST. PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| Domestic Profit | 2023-06-19 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
