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BRANDON STEM CELL CLINIC, LLC

Company Details

Entity Name: BRANDON STEM CELL CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Oct 2018 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Dec 2022 (2 years ago)
Document Number: L18000254665
FEI/EIN Number 83-2410767
Address: 166 East Bloomingdale Avenue, Brandon, FL, 33511, US
Mail Address: 166 East Bloomingdale Avenue, Brandon, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386259323 2020-09-15 2020-10-13 1602 OAKFIELD DR STE 101, BRANDON, FL, 335110827, US 1602 OAKFIELD DR STE 101, BRANDON, FL, 335110827, US

Contacts

Phone +1 813-800-7836
Fax 8132002253

Authorized person

Name MRS. LEESA POLLEY
Role OWNER, FOUNDER
Phone 8505911414

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role
THE LAW OFFICE OF LEIGHTON J. HYDE, P.A. Agent

Authorized Member

Name Role Address
POLLEY CHAD F Authorized Member 6947 COHASSET CIRCLE, RIVERVIEW, FL, 33578
POLLEY LEESA Authorized Member 6947 COHASSET CIRCLE, RIVERVIEW, FL, 33578

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-12-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-01 166 East Bloomingdale Avenue, Suite 2, Brandon, FL 33511 No data
CHANGE OF MAILING ADDRESS 2022-02-01 166 East Bloomingdale Avenue, Suite 2, Brandon, FL 33511 No data
LC AMENDMENT 2019-09-20 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-07
LC Amendment 2022-12-16
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-12
LC Amendment 2019-09-20
ANNUAL REPORT 2019-04-15
Florida Limited Liability 2018-10-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State