| Entity Name: | EVIVIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Apr 2020 (5 years ago) |
| Document Number: | L20000113883 |
| FEI/EIN Number | 85-0948088 |
| Address: | 1370 Washington Ave, Miami Beach, FL, 33139, US |
| Mail Address: | 1370 Washington Avenue, Ste 224, Miami Beach, FL, 33139, US |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336762327 | 2020-05-25 | 2021-09-06 | 1370 WASHINGTON AVE STE 224, MIAMI BEACH, FL, 331394215, US | 1370 WASHINGTON AVE STE 224, MIAMI BEACH, FL, 331394215, US | |||||||||||||||||
|
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| Phone | +1 786-673-4029 |
Authorized person
| Name | ANTONINA EREMENKO |
| Role | CEO |
| Phone | 7866734029 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Eremenko A | Agent | 1354 Washington Ave, Miami Beach, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| Eremenko Antonina | Manager | 1370 Washington Avenue, Miami Beach, FL, 33139 |
| Eremenko Lilia | Manager | 1370 Washington Avenue, MIAMI, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 1370 Washington Ave, Ste 224, Miami Beach, FL 33139 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-17 | Eremenko, A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 1354 Washington Ave, Ste 224, Miami Beach, FL 33139 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-07 | 1370 Washington Ave, Ste 224, Miami Beach, FL 33139 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-05-29 |
| Florida Limited Liability | 2020-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
