| Entity Name: | AGELESS MEN'S HEALTH HOLDINGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Jun 2017 (8 years ago) |
| Document Number: | F17000002960 |
| FEI/EIN Number |
275505337
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11112 San Jose Blvd., Jacksonville, FL, 32223, US |
| Mail Address: | 14358 N FRANK LLOYD WRIGHT, SCOTTSDALE, AZ, 85260, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992440952 | 2022-05-03 | 2023-11-13 | 1240 MARBELLA PLAZA DR STE 102, TAMPA, FL, 336197906, US | 1240 MARBELLA PLAZA DR STE 102, TAMPA, FL, 336197906, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-379-5052 |
Authorized person
| Name | TEAH MICHELLE SMITH |
| Role | CREDENTIALING MANAGER |
| Phone | 9012053999 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLACKWOOD JASON | President | 14358 N FRANK LLOYD WRIGHT, SCOTTSDALE, AZ, 85260 |
| MITIAS HANNA MMD | Vice President | 206 OXFORD RD, NEW ALBANY, MS, 38652 |
| BLACKWOOD TAYLOR | Secretary | 14358 N FRANK LLOYD WRIGHT, SCOTTSDALE, AZ, 85260 |
| Kay Susan | Chief Financial Officer | 14358 N Frank Lloyd Wright Blvd #4, Scottsdale, AZ, 85260 |
| NRAI SERVICES, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000102520 | AGELESS MEN'S HEALTH | ACTIVE | 2017-09-13 | 2027-12-31 | - | 14350 N. FRANK LLOYD WRIGHT, SUITE 10, SCOTTSDALE, AZ, 85260 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-15 | 11112 San Jose Blvd., Suite 22, Jacksonville, FL 32223 | - |
| CHANGE OF MAILING ADDRESS | 2018-03-22 | 11112 San Jose Blvd., Suite 22, Jacksonville, FL 32223 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-22 |
| Foreign Profit | 2017-06-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
