| Entity Name: | FOREVER YOUNG DIAGNOSTICS |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2022 (3 years ago) |
| Document Number: | L22000018553 |
| FEI/EIN Number | 87-4501978 |
| Address: | 110 Lithia Pinecrest Rd, Brandon, FL, 33511, US |
| Mail Address: | 3848 SUN CITY CENTER BLVD, 104-49, RUSKIN, FL, 33573 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366194649 | 2022-01-19 | 2022-02-18 | 3848 SUN CITY CENTER BLVD # 104-49, SUN CITY CENTER, FL, 335736843, US | 110 LITHIA PINECREST RD STE H, BRANDON, FL, 335115300, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-857-8556 |
Authorized person
| Name | ZARANDA YOUNG |
| Role | ADMIN |
| Phone | 8138578556 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| YOUNG ZARANDA | Agent | 11545 BALINTORE DR, RIVERVIEW, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| YOUNG ZARANDA | Manager | 11545 BALINTORE DR, RIVERVIEW, FL, 33579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-13 | 110 Lithia Pinecrest Rd, suite C, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-03 |
| Florida Limited Liability | 2022-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
