| Entity Name: | HARBOUR MEDICAL AND AESTHETICS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2021 (4 years ago) |
| Document Number: | L21000014473 |
| FEI/EIN Number | 861302064 |
| Mail Address: | 7098 BONITA DRIVE, MIAMI BEACH, FL, 33141, US |
| Address: | 1021 IVES DAIRY ROAD, MIAMI, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659031946 | 2021-12-28 | 2022-06-09 | 1021 IVES DAIRY RD STE 214, MIAMI, FL, 331792537, US | 1021 IVES DAIRY RD STE 214, MIAMI, FL, 331792537, US | |||||||||||||||
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| Phone | +1 305-504-6136 |
| Fax | 7866710187 |
Authorized person
| Name | GRETEL TRULLENQUE |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3055046136 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRULLENQUE ANTHONY LESQ. | Agent | 7098 BONITA DRIVE, MIAMI BEACH, FL, 33141 |
| Name | Role | Address |
|---|---|---|
| TRULLENQUE GRETEL | Manager | 1021 IVES DAIRY ROAD, MIAMI, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-12 | 1021 IVES DAIRY ROAD, #214, MIAMI, FL 33179 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-20 |
| Florida Limited Liability | 2021-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
