Entity Name: | I.VIZION LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 10 Jul 2015 (10 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 03 Jan 2024 (a year ago) |
Document Number: | L15000119203 |
FEI/EIN Number | 47-4552079 |
Address: | 2761 Taft St, Hollywood, FL, 33020, US |
Mail Address: | 2761 Taft St, Hollywood, FL, 33020, US |
ZIP code: | 33020 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174094361 | 2018-12-16 | 2021-07-27 | 5220 NW 163RD ST, MIAMI LAKES, FL, 330146226, US | 5220 NW 163RD ST, MIAMI LAKES, FL, 330146226, US | |||||||||||||||||
|
Phone | +1 786-687-2420 |
Authorized person
Name | JEFFREY BRAZZLE |
Role | PROVIDER RELATIONS MANAGER |
Phone | 9549187303 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRAZZLE JEFFREY | Agent | 2761 Taft St, Hollywood, FL, 33020 |
Name | Role | Address |
---|---|---|
BRAZZLE JEFFREY | President | 2761 Taft St, Hollywood, FL, 33020 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000087294 | FIGHTING EVOLUTION WRESTLING | EXPIRED | 2015-08-24 | 2020-12-31 | No data | 1434 NE 154 ST, MIAMI, FL, 33162 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-01-03 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-01-03 | 2761 Taft St, 212, Hollywood, FL 33020 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-03 | 2761 Taft St, 212, Hollywood, FL 33020 | No data |
REGISTERED AGENT NAME CHANGED | 2024-01-03 | BRAZZLE, JEFFREY | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-01-03 | 2761 Taft St, 212, Hollywood, FL 33020 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J17000623241 | TERMINATED | 1000000761835 | DADE | 2017-11-06 | 2037-11-07 | $ 17,384.67 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
J17000328957 | TERMINATED | 1000000745649 | DADE | 2017-06-05 | 2037-06-08 | $ 18,438.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
J17000298846 | TERMINATED | 1000000744012 | DADE | 2017-05-22 | 2027-05-24 | $ 562.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
Name | Date |
---|---|
REINSTATEMENT | 2024-01-03 |
ANNUAL REPORT | 2018-02-05 |
ANNUAL REPORT | 2017-02-19 |
ANNUAL REPORT | 2016-03-21 |
Florida Limited Liability | 2015-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State