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PHOENIX RISES ACUPUNCTURE, LLC

Company Details

Entity Name: PHOENIX RISES ACUPUNCTURE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Apr 2016 (9 years ago)
Document Number: L16000065664
FEI/EIN Number 81-2176397
Address: 150 KENT RD SUITE 2-A, ST. AUGUSTINE, FL, 32086, US
Mail Address: 150 KENT RD SUITE 2-A, ST. AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326494006 2016-05-11 2016-05-11 150 KENT RD, SUITE 2A, ST AUGUSTINE, FL, 320866350, US 150 KENT RD, SUITE 2A, ST AUGUSTINE, FL, 320866350, US

Contacts

Phone +1 904-238-1000

Authorized person

Name GORDANA SMITH
Role OWNER
Phone 9042381000

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
License Number AP 3712
State FL
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Othe

Name Role Address
SMITH GORDANA Othe 150 KENT RD SUITE 2-A, ST. AUGUSTINE, FL, 32086

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000049472 VILLAGE DOCTOR ACTIVE 2022-04-19 2027-12-31 No data 150 KENT RD SUITE 2-A, ST. AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-04-13
Florida Limited Liability 2016-04-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State