| Entity Name: | AESTHETEMED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 May 2022 (3 years ago) |
| Document Number: | L22000224693 |
| FEI/EIN Number | 88-3178565 |
| Address: | 2100 EAST HALLANDALE BEACH BOULEVARD, #100, HALLANDALE BEACH, FL 33009 |
| Mail Address: | 2100 EAST HALLANDALE BEACH BOULEVARD, #100, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427897735 | 2024-05-24 | 2024-05-24 | 2100 E HALLANDALE BEACH BLVD, 100, HALLANDALE BEACH, FL, 33009, US | 2100 E HALLANDALE BEACH BLVD, 100, HALLANDALE BEACH, FL, 33009, US | |||||||||||||||||||||||||
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| Phone | +1 786-966-7878 |
Authorized person
| Name | VADIM NISENBOYM |
| Role | MANAGER |
| Phone | 7869667878 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION |
| Number | 6025783 |
| State | FL |
| Issuer | DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION |
| Number | CE10037989 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NISENBOYM, VADIM | Agent | 2100 EAST HALLANDALE BEACH BOULEVARD, #100, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| NISENBOYM, VADIM | Manager | 2100 EAST HALLANDALE BEACH BOULEVARD, #100, HALLANDALE BEACH, FL 33009 |
| PAPYANTS, YULIA | Manager | 2100 EAST HALLANDALE BEACH BOULEVARD, #100 HALLANDALE BEACH, FL 33009 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-03-29 |
| Florida Limited Liability | 2022-05-12 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
