| Entity Name: | PALM BEACH BOTOX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM BEACH BOTOX LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Mar 2016 (9 years ago) |
| Document Number: | L16000063884 |
| FEI/EIN Number |
36-4836428
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| Mail Address: | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801303920 | 2018-01-10 | 2018-03-17 | 16244 S MILITARY TRL STE 150, DELRAY BEACH, FL, 334846505, US | 16244 S MILITARY TRL STE 150, DELRAY BEACH, FL, 334846505, US | |||||||||||||||||||||||||||
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| Phone | +1 561-638-8872 |
| Fax | 5616388874 |
Authorized person
| Name | DR. SAMUEL FARHAN SIDDIQUI |
| Role | PRESIDENT |
| Phone | 5617159800 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| Is Primary | No |
| Taxonomy Code | 2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 72476 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Siddiqui Samuel | Manager | 16244 S MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Siddiqui Samuel | Agent | 16244 S MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000051711 | MEDICAL CANNABIS CLINICS OF FLORIDA | ACTIVE | 2020-05-11 | 2025-12-31 | - | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| G19000039661 | CENTER FOR NEUROLOGY | EXPIRED | 2019-03-27 | 2024-12-31 | - | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-01-23 | Siddiqui, Samuel | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-01-23 |
| Florida Limited Liability | 2016-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6182117708 | 2020-05-01 | 0455 | PPP | 16244 S MILITARY TRL STE 150, DELRAY BEACH, FL, 33484-6505 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
