| Entity Name: | AVENTUS DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2018 (6 years ago) |
| Document Number: | L18000281460 |
| FEI/EIN Number | 83-2815232 |
| Address: | 5200 S. UNIVERSITY DRIVE, BUILDING A, SUITE 102, DAVIE, FL, 33328, US |
| Mail Address: | 5200 S. UNIVERSITY DRIVE, BUILDING A, SUITE 102, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013571447 | 2019-05-01 | 2019-05-13 | 5200 S UNIVERSITY DR STE 102A, DAVIE, FL, 333285316, US | 5200 S UNIVERSITY DR STE 102A, DAVIE, FL, 333285316, US | |||||||||||||
|
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| Phone | +1 954-801-1953 |
Authorized person
| Name | CARLOS NOUSARI |
| Role | OWNER |
| Phone | 9548011953 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SNYDER SHAWN C | Agent | 7931 ORANGE DRIVE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| TAVARES ANA ANTUNES | Manager | 5200 S. UNIVERSITY DR, BLDG A, SUITE 102, DAVIE, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000058156 | AVENTUS ADVANCED DERMATOLOGY | ACTIVE | 2019-05-15 | 2029-12-31 | No data | 5200 S. UNIVERSITY DRIVE, BUILDING A, SUITE 102, DAVIE, FL, 33328 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-01-09 |
| Florida Limited Liability | 2018-12-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
