| Entity Name: | FLORIDA INSTITUTE OF PLASTIC SURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 May 2022 (3 years ago) |
| Document Number: | L22000156252 |
| FEI/EIN Number | 88-2391520 |
| Address: | 8550 Northeast 138th Lane, Bldg 100, Ste 102, The Villages, FL, 32159, US |
| Mail Address: | 8550 Northeast 138th Lane, Bldg 100, Ste 102, The Villages, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609653708 | 2023-09-12 | 2024-04-19 | 8550 NE 138TH LN STE 102, LADY LAKE, FL, 321596816, US | 8550 NE 138TH LN STE 102, LADY LAKE, FL, 321596816, US | |||||||||||||||
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| Phone | +1 352-325-5555 |
| Fax | 3462020106 |
Authorized person
| Name | CHRIS CAUDILL |
| Role | OFFICE MANAGER |
| Phone | 3523255555 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUETTNER FRANZISKA | Agent | 8550 NE 138TH LN., THE VILLAGES, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| Huettner Franziska | Manager | 8550 Northeast 138th Lane, The Villages, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 8550 Northeast 138th Lane, Bldg 100, Ste 102, The Villages, FL 32159 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 8550 Northeast 138th Lane, Bldg 100, Ste 102, The Villages, FL 32159 | No data |
| LC AMENDMENT | 2022-05-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-25 | 8550 NE 138TH LN., THE VILLAGES, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-04-30 |
| LC Amendment | 2022-05-25 |
| Florida Limited Liability | 2022-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
