| Entity Name: | RESTORATION MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jan 2007 (18 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L07000005340 |
| FEI/EIN Number | 208770011 |
| Address: | 201 E New Haven Avenue, Melbourne, FL, 32901, US |
| Mail Address: | 346 3RD AVE, INDIALANTIC, FL, 32902, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386975415 | 2010-01-29 | 2011-04-11 | 190 S SYKES CREEK PKWY, SUITE #3, MERRITT ISLAND, FL, 329523572, US | 190 S SYKES CREEK PKWY, SUITE #3, MERRITT ISLAND, FL, 329523572, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-305-6254 |
| Fax | 3213055972 |
Authorized person
| Name | DR. LANCE ANDRE MAKI |
| Role | PRESIDENT |
| Phone | 3213056254 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME92412 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LANCE MAKI | Agent | 346 3RD AVE, INDIALANTIC, FL, 32902 |
| Name | Role | Address |
|---|---|---|
| MAKI LANCE ADr. | Managing Member | 346 3RD AVE, INDIALANTIC, FL, 32902 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000109119 | MAKI MD RESTORATION MEDICINE | ACTIVE | 2020-08-24 | 2025-12-31 | No data | 150 FIFTH AVE SUITE A, INDIALANTIC, FL, 32903 |
| G19000120147 | HOLY FAMILY MEDICINE | EXPIRED | 2019-11-07 | 2024-12-31 | No data | 346 3RD AVENUE, INDIALANTIC,, FL, 32902 |
| G09000139791 | MAKIMD RESTORATION MEDICINE | EXPIRED | 2009-07-28 | 2014-12-31 | No data | 190 S. SYKES CREEK PKWY,, SUITE 3, MERRITT ISLAND, FL, 32952-3572 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 201 E New Haven Avenue, Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-01 | 201 E New Haven Avenue, Melbourne, FL 32901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-01 | 346 3RD AVE, INDIALANTIC, FL 32902 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-09 | LANCE, MAKI | No data |
| CANCEL ADM DISS/REV | 2009-07-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
