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REJUVENX OF WEST PALM BEACH, LLC

Company Details

Entity Name: REJUVENX OF WEST PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Dec 2017 (7 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Nov 2022 (2 years ago)
Document Number: L17000257381
FEI/EIN Number 82-3745351
Mail Address: 1435 E Venice Avenue, Suite 104, #279, Venice, FL 34292
Address: 1425 E. VENICE AVENUE, SUITE 104 #279, VENICE, FL 34292
ZIP code: 34292
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144738550 2018-01-19 2018-01-19 1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111608, US 1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL, 334012214, US

Contacts

Phone +1 561-422-1819
Fax 5614221819

Authorized person

Name TIMOTHY DECANIO
Role OWNER
Phone 5614221819

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8849
State FL
Is Primary Yes

Agent

Name Role Address
DECANIO, TIMOTHY Agent 1435 E Venice Avenue, Suite 104, #279, Venice, FL 34292

Manager

Name Role Address
REJUVENX HOLDINGS, LLC Manager 1435 E Venice Avenue, Suite 104, #279 Venice, FL 34292

Authorized Representative

Name Role Address
JOSEPH, JEREMIAH Authorized Representative 8350 BEE RIDGE ROAD #198, SARASOTA, FL 34241
DECANIO, TIM Authorized Representative 1435 E Venice Avenue, Suite 104, #279 Venice, FL 34292

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-17 1425 E. VENICE AVENUE, SUITE 104 #279, VENICE, FL 34292 No data
CHANGE OF MAILING ADDRESS 2024-04-29 1425 E. VENICE AVENUE, SUITE 104 #279, VENICE, FL 34292 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 1435 E Venice Avenue, Suite 104, #279, Venice, FL 34292 No data
LC AMENDMENT 2022-11-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-11
LC Amendment 2022-11-14
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-04-24
Florida Limited Liability 2017-12-18

Date of last update: 18 Jan 2025

Sources: Florida Department of State