| Entity Name: | REJUVENX OF FT. MYERS, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jul 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L21000338632 |
| FEI/EIN Number | 87-1871033 |
| Mail Address: | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Address: | 6315 PRESIDENTIAL CT. #140, FT. MYERS, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972276772 | 2021-07-28 | 2021-07-28 | 1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111608, US | 6315 PRESIDENTIAL CT STE 140, FORT MYERS, FL, 339193568, US | |||||||||||||||
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| Phone | +1 561-422-1819 |
| Phone | +1 239-689-6042 |
Authorized person
| Name | DR. TIMOTHY DECANIO |
| Role | OWNER |
| Phone | 5614221819 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DECANIO, TIMOTHY | Agent | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, JEREMIAH | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| DECANIO, TIM | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| REJUVENX HOLDINGS | Manager | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 6315 PRESIDENTIAL CT. #140, FT. MYERS, FL 33919 | 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 | 2021-11-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-12 |
| LC Amendment | 2022-11-14 |
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-07-26 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
