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A REJUVENATED HEALTHCARE LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Klotz TANYA Agent 6730 22nd ave N, St Petersburg, FL, 33710

Owne

Name Role Address
Klotz TANYA M Owne 6730 22nd ave N, ST PETERSBURG, FL, 33710

Fictitious Names

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

Events

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

Documents

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