Entity Name: | IDEAL BODY INSTITUTE HUDSON ASC LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 30 Aug 2021 (3 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 07 Feb 2024 (a year ago) |
Document Number: | L21000388052 |
FEI/EIN Number | 87-2416979 |
Address: | 367 ATLANTA HIGHWAY #78, LOGANVILLE, GA, 30052, US |
Mail Address: | 14012 US HWY 19, HUDSON, FL, 34667, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821731753 | 2022-04-19 | 2022-04-19 | 367 ATHENS HWY STE 100, LOGANVILLE, GA, 300522207, US | 14012 US HIGHWAY 19, HUDSON, FL, 346671165, US | |||||||||||||||
|
Phone | +1 678-466-6760 |
Fax | 6788027094 |
Authorized person
Name | CHRISTOPHER IBIKUNLE |
Role | MD |
Phone | 6784666760 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BEMPAH MAXWELL | Agent | 14012 US HWY 19, HUDSON, FL, 34667 |
Name | Role | Address |
---|---|---|
IBIKUNLE CHRISTOPHER | Executive | 367 ATLANTA HIGHWAY #78, LOGANVILLE, GA, 30052 |
Name | Role | Address |
---|---|---|
POSTOEV ANGELINA | Chief Executive Officer | 367 ATLANTA HIGHWAY #78, LOGANVILLE, GA, 30052 |
Name | Role | Address |
---|---|---|
BEMPAH MAXWELL | Chief Operating Officer | 367 ATLANTA HIGHWAY #78, LOGANVILLE, GA, 30052 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-02-07 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2024-02-07 | BEMPAH, MAXWELL | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2024-02-07 |
Florida Limited Liability | 2021-08-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State