| Entity Name: | AGE DEFYING EXPERTS SOUTH FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Mar 2020 (5 years ago) |
| Document Number: | L20000086108 |
| FEI/EIN Number | 85-0528211 |
| Address: | 5379 Lyons Rd, Coconut Creek, FL, 33073-2810, US |
| Mail Address: | 5379 Lyons Rd, Coconut Creek, FL, 33073-2810, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588250948 | 2020-12-18 | 2024-10-31 | 5379 LYONS RD, COCONUT CREEK, FL, 330732810, US | 5379 LYONS RD # 1599, COCONUT CREEK, FL, 330732810, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-505-4423 |
Authorized person
| Name | DANIELA CHETAN |
| Role | NURSE PRACTITIONER |
| Phone | 7865054423 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHETAN DANIELA | Agent | 5379 Lyons Rd, Coconut Creek, FL, 330732810 |
| Name | Role | Address |
|---|---|---|
| CHETAN DANIELA | Manager | 5379 Lyons Rd, Coconut Creek, FL, 330732810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-29 | 5379 Lyons Rd, #1599, Coconut Creek, FL 33073-2810 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 5379 Lyons Rd, #1599, Coconut Creek, FL 33073-2810 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 5379 Lyons Rd, #1599, Coconut Creek, FL 33073-2810 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-08-01 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-03-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
