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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
DECANIO, TIMOTHY | Agent | 1435 E Venice Avenue, Suite 104, #279, Venice, FL 34292 |
Name | Role | Address |
---|---|---|
REJUVENX HOLDINGS, LLC | Manager | 1435 E Venice Avenue, Suite 104, #279 Venice, FL 34292 |
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 |
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 |
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