Entity Name: | A REJUVENATED HEALTHCARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 13 Mar 2019 (6 years ago) |
Document Number: | L19000070712 |
FEI/EIN Number | 83-4088765 |
Address: | 6730 22nd ave N, Suite F, St Petersburg, FL, 33710, US |
Mail Address: | 6730 22nd ave N, Suite F, St Petersburg, FL, 33710, US |
ZIP code: | 33710 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245791235 | 2019-03-31 | 2019-05-01 | 3641 TYRONE BLVD N STE 3, ST PETERSBURG, FL, 337101150, US | 3641 TYRONE BLVD N STE 3, ST PETERSBURG, FL, 337101150, US | |||||||||||||
|
Phone | +1 727-301-9628 |
Authorized person
Name | JEREMIAH KLOTZ |
Role | OFFICE MANAGER |
Phone | 7277670168 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Klotz TANYA | Agent | 6730 22nd ave N, St Petersburg, FL, 33710 |
Name | Role | Address |
---|---|---|
Klotz TANYA M | Owne | 6730 22nd ave N, ST PETERSBURG, FL, 33710 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000062923 | ARJ SALES | ACTIVE | 2020-06-05 | 2025-12-31 | No data | 3641 TYRONE BLVD N SUITE 3, ST PETERSBURG, FL, 33710 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-05-31 | 6730 22nd ave N, Suite F, St Petersburg, FL 33710 | No data |
CHANGE OF MAILING ADDRESS | 2022-05-31 | 6730 22nd ave N, Suite F, St Petersburg, FL 33710 | No data |
REGISTERED AGENT NAME CHANGED | 2022-05-31 | Klotz, TANYA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-05-31 | 6730 22nd ave N, Suite F, St Petersburg, FL 33710 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-25 |
ANNUAL REPORT | 2023-01-24 |
AMENDED ANNUAL REPORT | 2022-05-31 |
ANNUAL REPORT | 2022-03-10 |
ANNUAL REPORT | 2021-03-15 |
ANNUAL REPORT | 2020-03-18 |
Florida Limited Liability | 2019-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State