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DERMA BEAUTY SPA MEDICAL CLINIC LLC - Florida Company Profile

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Company Details

Entity Name: DERMA BEAUTY SPA MEDICAL CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Oct 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Nov 2022 (3 years ago)
Document Number: L19000249603
FEI/EIN Number 84-3394428
Address: 2100 NW 107 AV, MIAMI, FL, 33172, US
Mail Address: 2100 NW 107 AV, MIAMI, FL, 33172, US
ZIP code: 33172
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
MEDINA FRANCIE Manager 929 NW 123 AVE, MIAMI, FL, 33182
SANCHEZ JORGE JAVIER Manager 929 NW 123 AVE, MIAMI, FL, 33182
medina francie Agent 929 nw 123 ave, miami, FL, 33172

National Provider Identifier

NPI Number:
1285249987
Certification Date:
2020-10-16

Authorized Person:

Name:
FRANCIE MEDINA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-11-02 - -
REGISTERED AGENT NAME CHANGED 2022-02-14 medina, francie -
REGISTERED AGENT ADDRESS CHANGED 2022-02-14 929 nw 123 ave, 112, miami, FL 33172 -
CHANGE OF PRINCIPAL ADDRESS 2021-01-13 2100 NW 107 AV, 112, MIAMI, FL 33172 -
CHANGE OF MAILING ADDRESS 2021-01-13 2100 NW 107 AV, 112, MIAMI, FL 33172 -
LC AMENDMENT 2020-05-04 - -

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-03-17
LC Amendment 2022-11-02
AMENDED ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2022-02-14
AMENDED ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-06-25
LC Amendment 2020-05-04
Florida Limited Liability 2019-10-03

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Date of last update: 02 Aug 2025

Sources: Florida Department of State