| Entity Name: | REJUVA DERMATOLOGY & VEIN CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
REJUVA DERMATOLOGY & VEIN CENTER, 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: | 19 Nov 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Aug 2021 (4 years ago) |
| Document Number: | L20000367258 |
| FEI/EIN Number |
85-4139221
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 2389 East Venice Avenue, Venice, FL, 34292, US |
| Address: | 395 Commercial Court, Venice, FL, 34292, US |
| ZIP code: | 34292 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316522691 | 2021-03-17 | 2024-10-23 | 2389 E VENICE AVE UNIT 510, VENICE, FL, 342922465, US | 395 COMMERCIAL CT STE C, VENICE, FL, 342921651, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 941-529-0070 |
| Fax | 9415290539 |
Authorized person
| Name | DR. GOLTA RASOULI |
| Role | CO-PRESENDENT |
| Phone | 9415290070 |
Taxonomy
| Taxonomy Code | 202K00000X - Phlebology Physician |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MAZLOOM SEAN | Manager | 2389 East Venice Avenue, Venice, FL, 34292 |
| RASOULI GOLTA | Manager | 2389 East Venice Avenue, Venice, FL, 34292 |
| RASOULI GOLTA | Agent | 395 Commercial Court, Venice, FL, 34292 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000115606 | REJUVA DERMATOLOGY & VEIN CENTER | ACTIVE | 2021-09-08 | 2026-12-31 | - | 2389 E. VENICE AVENUE, UNIT 510, VENICE, FL, 34292 |
| G21000115684 | REJUVA DERMATOLOGY, VEIN & SKIN CANCER CENTER | ACTIVE | 2021-09-08 | 2026-12-31 | - | 2389 E. VENICE AVENUE, UNIT 510, VENICE, FL, 34292 |
| G20000154461 | DERMATOLOGY ASSOCIATES | ACTIVE | 2020-12-05 | 2025-12-31 | - | 1576 BELLA CRUZ DRIVE, #264, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-22 | 395 Commercial Court, Suite C, Venice, FL 34292 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-22 | 395 Commercial Court, Suite C, Venice, FL 34292 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-22 | 395 Commercial Court, Suite C, Venice, FL 34292 | - |
| LC AMENDMENT | 2021-08-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-22 |
| LC Amendment | 2021-08-24 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-11-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
