| Entity Name: | BLOSSOM MEDSPA & WELLNESS CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Mar 2014 (11 years ago) |
| Date of dissolution: | 25 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Apr 2017 (8 years ago) |
| Document Number: | L14000040708 |
| FEI/EIN Number | 46-5049888 |
| Address: | 2304 S. Babcock Street, MELBOURNE, FL, 32901, US |
| Mail Address: | 2304 S. Babcock Street, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760872600 | 2015-01-30 | 2015-01-30 | 2304 S BABCOCK ST, MELBOURNE, FL, 329015308, US | 2304 S BABCOCK ST, MELBOURNE, FL, 329015308, US | |||||||||||||||||
|
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| Phone | +1 321-837-3935 |
Authorized person
| Name | DR. NARESH MANEKLAL DAVDA |
| Role | OWNER |
| Phone | 3218373935 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | PA9101508 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVDA NARESH MDr. | Agent | 2582 GLASBERN CIRCLE, WEST MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| DAVDA NARESH M | Manager | 2582 GLASBERN CIRCLE, WEST MELBOURNE, FL, 32904 |
| DAVDA LILIANA N | Manager | 2582 GLASBERN CIRCLE, WEST MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-11 | 2304 S. Babcock Street, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-11 | 2304 S. Babcock Street, MELBOURNE, FL 32901 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-11 | DAVDA, NARESH M, Dr. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-25 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-02-11 |
| Florida Limited Liability | 2014-03-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
