| Entity Name: | DERMA BEAUTY SPA MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Oct 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L19000249603 |
| FEI/EIN Number | 84-3394428 |
| Address: | 2100 NW 107 AV, 112, MIAMI, FL 33172 |
| Mail Address: | 2100 NW 107 AV, 112, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285249987 | 2020-09-10 | 2020-10-16 | 1470 NW 107TH AVE STE M, SWEETWATER, FL, 331722735, US | 1470 NW 107TH AVE STE M, SWEETWATER, FL, 331722735, US | |||||||||||||||||
|
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| Phone | +1 305-594-5999 |
Authorized person
| Name | FRANCIE MEDINA |
| Role | OWNER |
| Phone | 7864546630 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| medina, francie | Agent | 929 nw 123 ave, 112, miami, FL 33172 |
| Name | Role | Address |
|---|---|---|
| DERMA BEAUTY SPA MEDICAL CLINIC LLC | Manager | No data |
| MEDINA, FRANCIE | Manager | 929 NW 123 AVE, MIAMI, FL 33182 |
| SANCHEZ, JORGE JAVIER | Manager | 929 NW 123 AVE, MIAMI, FL 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-11-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-14 | medina, francie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-14 | 929 nw 123 ave, 112, miami, FL 33172 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 2100 NW 107 AV, 112, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 2100 NW 107 AV, 112, MIAMI, FL 33172 | No data |
| LC AMENDMENT | 2020-05-04 | No data | No data |
| 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 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
