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REJUVENX OF BRADENTON, LLC

Company Details

Entity Name: REJUVENX OF BRADENTON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jan 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Nov 2022 (2 years ago)
Document Number: L21000023963
FEI/EIN Number 861733518
Mail Address: 1425 E Venice Ave, Suite 104, #279, Venice, FL, 34292, US
Address: 3021 MANATEE AVE WEST, SUITE A AND B, BRADENTON, FL, 34205, US
ZIP code: 34205
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508457532 2021-02-02 2021-02-02 1470B ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111608, US 3021 MANATEE AVE W STE A, BRADENTON, FL, 342054242, US

Contacts

Phone +1 561-422-1819

Authorized person

Name DR. TIMOTHY DECANIO
Role OWNER
Phone 5614221819

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
DECANIO TIMOTHY Agent 1425 E Venice Ave, Venice, FL, 34292

Authorized Representative

Name Role Address
JOSEPH JEREMIAH Authorized Representative 1425 E Venice Ave, Venice, FL, 34292
DECANIO TIM Authorized Representative 1425 E Venice Ave, Venice, FL, 34292

Manager

Name Role Address
REJUVENX HOLDINGS Manager 1425 E Venice Ave, Venice, FL, 34292

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-30 3021 MANATEE AVE WEST, SUITE A AND B, BRADENTON, FL 34205 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 No data
LC AMENDMENT 2022-11-14 No data No data
LC AMENDMENT 2021-06-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-12
LC Amendment 2022-11-14
ANNUAL REPORT 2022-04-27
LC Amendment 2021-06-14
Florida Limited Liability 2021-01-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State