| Entity Name: | RENEW AND RESTORE MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jun 2016 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000122578 |
| FEI/EIN Number | 81-3056318 |
| Address: | 4308 ALTON RD, 710, MIAMI BEACH, FL, 33140 |
| Mail Address: | 4308 ALTON RD, 710, MIAMI BEACH, FL, 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932550480 | 2016-06-27 | 2016-06-27 | 4308 ALTON RD STE 710, MIAMI BEACH, FL, 331404557, US | 4308 ALTON RD STE 710, MIAMI BEACH, FL, 331404557, US | |||||||||||||||||||
|
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| Phone | +1 305-695-7777 |
| Fax | 3056957707 |
Authorized person
| Name | JEFF BAKER |
| Role | MEDICAL DIRECTOR |
| Phone | 3056957777 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | OS12833 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPERDUTO GUY | Agent | 8963 STIRLING ROAD, COOPER CITY, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| Sperduto Guy | Auth | 8963 Stirling Road, Cooper City, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-01 |
| Florida Limited Liability | 2016-06-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
