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REVIVIFY DERMATOLOGY, LLC - Florida Company Profile

Company Details

Entity Name: REVIVIFY DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

REVIVIFY DERMATOLOGY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 21 Oct 2019 (6 years ago)
Date of dissolution: 24 Sep 2021 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (4 years ago)
Document Number: L19000252534
FEI/EIN Number 84-2474824

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 21301 POWERLINE ROAD, BOCA RATON, FL, 33433, US
Mail Address: 21301 POWERLINE ROAD, BOCA RATON, FL, 33433, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role
CANES EIGHTEEN, LLC Manager
ABN LAW, PLLC Agent
DENISE GUEVARA, D.O., P.A. Manager

National Provider Identifier

NPI Number:
1699319988
Certification Date:
2020-08-19

Authorized Person:

Name:
DENISE M. GUEVARA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5616721365

Form 5500 Series

Employer Identification Number (EIN):
842474824
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000088131 REVIVIFY DERMATOLOGY ACTIVE 2020-07-24 2025-12-31 - 21301 POWERLINE ROAD, SUITE 108, BOCA RATON, FL, 33433

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2020-03-25 21301 POWERLINE ROAD, SUITE 108, BOCA RATON, FL 33433 -
CHANGE OF MAILING ADDRESS 2020-03-25 21301 POWERLINE ROAD, SUITE 108, BOCA RATON, FL 33433 -
REGISTERED AGENT NAME CHANGED 2020-03-25 ABN LAW, PLLC -
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 2390 TAMIAMI TRAIL N, SUITE 214, NAPLES, FL 34103 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J22000263261 TERMINATED 1000000922312 PALM BEACH 2022-05-04 2032-06-01 $ 675.69 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
ANNUAL REPORT 2020-03-25
Florida Limited Liability 2019-10-21

Date of last update: 02 Jun 2025

Sources: Florida Department of State