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SD GLOW AND HEALTH LLC

Company Details

Entity Name: SD GLOW AND HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jun 2021 (4 years ago)
Document Number: L21000275631
FEI/EIN Number 87-1232202
Address: 22735 SW 110 AVE, MIAMI, FL, 33170
Mail Address: 22735 SW 110 AVE, MIAMI, FL, 33170
ZIP code: 33170
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710653894 2021-08-19 2021-10-26 3624 NW 36TH ST, MIAMI, FL, 331424914, US 3624 NW 36TH ST, MIAMI, FL, 331424914, US

Contacts

Phone +1 305-773-3971

Authorized person

Name SARAI GENDRIZ
Role OWNER
Phone 3052512500

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
gendriz sarai Agent 22735 SW 110 AVE, MIAMI, FL, 33170

Authorized Representative

Name Role Address
GENDRIZ SARAI Authorized Representative 22735 SW 110 AVE, MIAMI, FL, 33170

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-13 gendriz, sarai No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-02
Florida Limited Liability 2021-06-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State