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SWFL SCIENTIFIC REJUVENATION, LLC

Company Details

Entity Name: SWFL SCIENTIFIC REJUVENATION, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 19 Aug 2021 (3 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: L21000372771
FEI/EIN Number 872244818
Address: 23081 Harbor View Road, #202 Z, Port Charlotte, FL, 33980, US
Mail Address: 23081 Harbor View Road, #202 Z, Port Charlotte, FL, 33980, US
ZIP code: 33980
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023786928 2021-09-03 2021-09-03 122 NESBIT ST, PUNTA GORDA, FL, 339503653, US 122 NESBIT ST, PUNTA GORDA, FL, 339503653, US

Contacts

Phone +1 239-270-2882

Authorized person

Name RAE ANN ANTONUCCI
Role OWNER
Phone 9416626750

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
ANTONUCCI RAE ANN Agent 23081 Harborview Road, Charlotte Harbor, FL, 33980

Manager

Name Role Address
ANTONUCCI RAE ANN Manager 23081 Harborview Road, Charlotte Harbor, FL, 33980

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-26 23081 Harborview Road, 202 Z, Charlotte Harbor, FL 33980 No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-17 23081 Harbor View Road, #202 Z, Port Charlotte, FL 33980 No data
CHANGE OF MAILING ADDRESS 2023-03-17 23081 Harbor View Road, #202 Z, Port Charlotte, FL 33980 No data

Documents

Name Date
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-01-06
Florida Limited Liability 2021-08-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State