Search icon

ESTEVENZ CLINIC OF INTEGRATIVE MEDICINE LLC

Company Details

Entity Name: ESTEVENZ CLINIC OF INTEGRATIVE MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Aug 2019 (5 years ago)
Document Number: L19000220019
FEI/EIN Number 84-2870595
Address: 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071
Mail Address: 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071
ZIP code: 33071
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982259107 2019-08-05 2019-08-13 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 330718160, US 3000 N UNIVERSITY DR STE A, CORAL SPRINGS, FL, 330655048, US

Contacts

Phone +1 786-873-9686

Authorized person

Name JULIA BENITEZ-ESTEVENZ
Role OWNER
Phone 7868739686

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
Is Primary Yes
Taxonomy Code 225700000X - Massage Therapist
Is Primary No

Agent

Name Role Address
ESTEVENZ RAL Agent 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071

Authorized Member

Name Role Address
ESTEVENZ RAL Authorized Member 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071
BENITEZ JULIA Authorized Member 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000028864 RESTORE HORMONE WELLNESS ACTIVE 2022-03-06 2027-12-31 No data 10874 CYPRESS GLEN DR, CORAL SPRINGS, FL, 33071

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-14
Florida Limited Liability 2019-08-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State