| Entity Name: | RENUVA WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jun 2021 (4 years ago) |
| Document Number: | L21000292783 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 11322 Miramar Parkway, MIRAMAR, FL, 33025, US |
| Mail Address: | 11322 Miramar Parkway, MIRAMAR, FL, 33025, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487326476 | 2021-09-29 | 2021-09-29 | 8910 MIRAMAR PKWY STE 200, MIRAMAR, FL, 330254963, US | 8910 MIRAMAR PKWY STE 200, MIRAMAR, FL, 330254963, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-709-8343 |
Authorized person
| Name | MS. ELSA ASHLEY FREDERIC |
| Role | PROVIDER |
| Phone | 7867183813 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| FREDERIC ELSA A | Authorized Member | 11322 Miramar Parkway SUITE 1263, MIRAMAR, FL, 33025 |
| FREDERIC JENNIE | Authorized Member | 11322 Miramar Parkway SUITE 1263, MIRAMAR, FL, 33025 |
| FREDERIC RENISE | Authorized Member | 11322 Miramar Parkway SUITE 1263, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-15 | 11322 Miramar Parkway, SUITE 1263, MIRAMAR, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 11322 Miramar Parkway, SUITE 1263, MIRAMAR, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-15 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-06-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
