| Entity Name: | LIFETIME MEDICAL ASSOCIATES OF AVENTURA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIFETIME MEDICAL ASSOCIATES OF AVENTURA, PLLC 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. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Jul 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Jan 2023 (2 years ago) |
| Document Number: | L20000187458 |
| FEI/EIN Number |
85-1897735
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 21097 NE 27TH CT., SUITE 300, AVENTURA, FL, 33180, US |
| Mail Address: | 21097 NE 27TH CT., SUITE 300, AVENTURA, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609486778 | 2020-08-04 | 2021-04-01 | 21097 NE 27TH CT STE 300, AVENTURA, FL, 331801206, US | 21097 NE 27TH CT STE 300, AVENTURA, FL, 331801206, US | |||||||||||||||||||||||
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| Phone | +1 786-244-2700 |
| Fax | 8009803761 |
| Phone | +1 305-409-0197 |
Authorized person
| Name | STACY D ROSKIN |
| Role | OWNER |
| Phone | 3054090197 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME-74069 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSKIN STACY D | Authorized Member | 21097 NE 27TH CT., AVENTURA, FL, 33180 |
| Andreu Alejandro JDr. | Authorized Member | 21097 NE 27TH CT, AVENTURA, FL, 33180 |
| ROSKIN STACY DMD | Agent | 21097 NE 27TH CT., AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-18 | ROSKIN, STACY D, MD | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-05-26 | 21097 NE 27TH CT., SUITE 300, AVENTURA, FL 33180 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-26 | 21097 NE 27TH CT., SUITE 300, AVENTURA, FL 33180 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-23 | 21097 NE 27TH CT., SUITE 300, AVENTURA, FL 33180 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-04-26 |
| REINSTATEMENT | 2023-01-18 |
| ANNUAL REPORT | 2021-05-26 |
| Florida Limited Liability | 2020-07-02 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
