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PLASTIC SURGERY BOUTIQUE LLC

Company Details

Entity Name: PLASTIC SURGERY BOUTIQUE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Feb 2022 (3 years ago)
Document Number: L22000053514
FEI/EIN Number 87-4737359
Mail Address: 135 San Lorenzo Avenue, CORAL GABLES, FL, 33146, US
Address: 135 San Lorenzo avenue, CORAL GABLES, FL, 33146, US
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528772027 2023-01-09 2023-01-09 9008 SW 215TH ST, CUTLER BAY, FL, 331893786, US 2601 SW 37TH AVE STE 803, MIAMI, FL, 331332751, US

Contacts

Phone +1 305-562-5859

Authorized person

Name DR. ANNE-SOPHIE LESSARD
Role MEDICAL DOCTOR
Phone 3057335560

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
Lessard Anne-Sophie Agent 135 San Lorenzo Avenue, Coral Gables, FL, 33146

Member

Name Role Address
Lessard Anne-Sophie Member 135 San Lorenzo Avenue, Coral Gables, FL, 33146

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-13 Lessard, Anne-Sophie No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-13 135 San Lorenzo Avenue, suite 720, Coral Gables, FL 33146 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-31 135 San Lorenzo avenue, suite720, CORAL GABLES, FL 33146 No data
CHANGE OF MAILING ADDRESS 2024-01-31 135 San Lorenzo avenue, suite720, CORAL GABLES, FL 33146 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-10
AMENDED ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-02
Florida Limited Liability 2022-02-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State