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  5. COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC

COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC

Company Details

Entity Name: COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jan 2015 (10 years ago)
Document Number: L15000017090
FEI/EIN Number 47-3040263
Address: 1250 PINE RIDGE RD, NAPLES, FL, 34105
Mail Address: 1250 PINE RIDGE RD, NAPLES, FL, 34105
ZIP code: 34105
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548653033 2015-03-09 2015-03-09 1250 PINE RIDGE RD, NAPLES, FL, 341088913, US 1250 PINE RIDGE RD, NAPLES, FL, 341088913, US

Contacts
Phone +1 239-261-9990
Fax 2392619993

Authorized person
Name DR. DIANE J BRZEZINSKI
Role MBR
Phone 2392619990

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number OS7847
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COSMETIC AND WELLNESS 401(K) PLAN 2020 473040263 2021-06-24 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621112
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
COSMETIC AND WELLNESS 401(K) PLAN 2019 473040263 2020-07-21 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621112
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-21
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
COSMETIC AND WELLNESS 401(K) PLAN 2018 473040263 2019-09-24 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621112
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
COSMETIC AND WELLNESS 401(K) PLAN 2017 473040263 2018-09-11 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621112
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-11
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
COSMETIC AND WELLNESS 401(K) PLAN 2016 473040263 2017-07-10 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621112
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
COSMETIC AND WELLNESS 401(K) PLAN 2015 473040263 2016-07-26 COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-16
Business code 621111
Sponsor’s telephone number 2392619990
Plan sponsor’s address 1250 PINE RIDGE ROAD, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing DIANE BRZEZINSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRZEZINSKI DIANE J Agent 1250 PINE RIDGE RD, NAPLES, FL, 34108

Manager

Name Role Address
BRZEZINSKI DIANE J Manager 1250 PINE RIDGE RD, NAPLES, FL, 34108
GARDNER PAUL M Manager 1250 PINE RIDGE RD, NAPLES, FL, 34108

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000124617 TRUGLO MEDSPA EXPIRED 2016-11-17 2021-12-31 No data 1250 PINE RIDGE RD., UNIT 101B, NAPLES, FL, 34108
G15000132127 DIANE BRZEZINSKI D.O., P.A. ACTIVE 2015-12-30 2025-12-31 No data 1250 PINE RIDGE RD, UNIT 101A, NAPLES, FL, 34108
G15000132128 TRUGLO MEDISPA EXPIRED 2015-12-30 2020-12-31 No data 1250 PINE RIDGE RD, UNIT 101B, NAPLES, FL, 34108

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-03-08 1250 PINE RIDGE RD, NAPLES, FL 34108 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-08
Florida Limited Liability 2015-01-16

Related by officers

BRZEZINSKI DIANE J

AGLOW MEDISPA OF NAPLES, LLC 1250 PINE RIDGE, LLC DB PINE RIDGE HOLDINGS, LLC DIANE BRZEZINSKI, D.O., P.A. BRZEZINSKI MEDICAL CONSULTING INC

GARDNER PAUL M

TRAVIS ANNA REALTY, LLC AGLOW MEDISPA OF NAPLES, LLC 1250 PINE RIDGE, LLC AMY A AND T REALTY, LLC GARDNER PLASTIC SURGERY, INC. SOUTH FLORIDA PLASTIC SURGERY LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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