| Entity Name: | SOUTH BEACH ENDOCRINE WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2017 (8 years ago) |
| Document Number: | L17000104289 |
| FEI/EIN Number | 82-1521620 |
| Mail Address: | 1380 NE Miami Gardens Dr, North Miami Beach, FL, 33179, US |
| Address: | 1380 N.E. MIAMI GARDENS, NORTH MIAMI BEACH, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083139919 | 2017-08-11 | 2022-11-04 | 1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL, 331794747, US | 1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL, 331794747, US | |||||||||||||||||||
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| Phone | +1 305-431-2680 |
| Fax | 3059016238 |
Authorized person
| Name | DR. JEREMY SCOTT BLEICHER |
| Role | CHAIRMAN |
| Phone | 3054312680 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | OS12010 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH BEACH ENDOCRINE WELLNESS LLC 401(K) PLAN | 2023 | 821521620 | 2024-05-20 | SOUTH BEACH ENDOCRINE WELLNESS LLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-20 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BLEICHER JEREMY S | Chairman | 650 West Ave, North Miami Beach, FL, 33179 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000088091 | SOUTH BEACH WELLNESS LLC | EXPIRED | 2019-08-20 | 2024-12-31 | No data | 5040 NW 7TH ST, SUITE 635, MIAMI, FL, 33126 |
| G17000073768 | SOUTH BEACH WELLNESS | EXPIRED | 2017-07-09 | 2022-12-31 | No data | 400 SOUTH POINTE DR, APT. 1808, MIAMI BEACH, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-27 | 1380 N.E. MIAMI GARDENS, 155, NORTH MIAMI BEACH, FL 33179 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-18 | 1380 N.E. MIAMI GARDENS, 155, NORTH MIAMI BEACH, FL 33179 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-29 |
| AMENDED ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-04 |
| Florida Limited Liability | 2017-05-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
