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GENESIS AESTHETICS, LLC

Company Details

Entity Name: GENESIS AESTHETICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Nov 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Dec 2016 (8 years ago)
Document Number: L14000175102
FEI/EIN Number 47-2373220
Address: 8077 Cactus Quartz Circle, Delray Beach, FL, 33446, US
Mail Address: 8077 Cactus Quartz Circle, Delray Beach, FL, 33446, US
ZIP code: 33446
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801293774 2014-11-20 2014-11-20 9511 JAGGED CREEK CT, DELRAY BEACH, FL, 334469525, US 9511 JAGGED CREEK CT, DELRAY BEACH, FL, 334469525, US

Contacts

Phone +1 561-325-8530

Authorized person

Name CARLOS CEPEDA
Role MEMBER
Phone 5613258530

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number ME97906
State FL
Is Primary Yes

Agent

Name Role Address
GOODWIN MATTHEW Agent 8077 Cactus Quartz Circle, Delray Beach, FL, 33446

Authorized Representative

Name Role Address
GOODWIN MATTHEW Authorized Representative 8077 Cactus Quartz Circle, Delray Beach, FL, 33446

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-11 8077 Cactus Quartz Circle, Delray Beach, FL 33446 No data
CHANGE OF MAILING ADDRESS 2023-02-11 8077 Cactus Quartz Circle, Delray Beach, FL 33446 No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-11 8077 Cactus Quartz Circle, Delray Beach, FL 33446 No data
REINSTATEMENT 2016-12-21 No data No data
REGISTERED AGENT NAME CHANGED 2016-12-21 GOODWIN, MATTHEW No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-02-11
ANNUAL REPORT 2022-03-06
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-02-17
REINSTATEMENT 2016-12-21
Florida Limited Liability 2014-11-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State