| Entity Name: | TOP MEDSPA & CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Jul 2023 (2 years ago) |
| Document Number: | L22000267464 |
| FEI/EIN Number | 882807880 |
| Mail Address: | 1029 SOUTHERN OAK LN, APOPKA, FL, 32712, US |
| Address: | 2768 W Lake Mary Blvd, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659090694 | 2022-08-23 | 2023-03-07 | 2768 W LAKE MARY BLVD, LAKE MARY, FL, 327463524, US | 2768 W LAKE MARY BLVD, LAKE MARY, FL, 327463524, US | |||||||||||||||||
|
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| Phone | +1 407-878-3208 |
| Fax | 3212340229 |
| Phone | +1 321-230-6043 |
Authorized person
| Name | JONATHAN PEACH |
| Role | PROVIDER |
| Phone | 4078783208 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALVARADO DIANA | Agent | 1029 SOUHERN OAK LN, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| Alvarado Diana | Authorized Member | 1029 SOUTHERN OAK LN, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| ALVARADO DIANA | Manager | 1029 SOUTHERN OAK LANE, APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-04 | 2768 W Lake Mary Blvd, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-04 | 1029 SOUHERN OAK LN, APOPKA, FL 32712 | No data |
| LC AMENDMENT | 2023-07-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-07 | ALVARADO, DIANA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-22 | 2768 W Lake Mary Blvd, LAKE MARY, FL 32746 | No data |
| LC AMENDMENT | 2022-06-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-04 |
| LC Amendment | 2023-07-07 |
| ANNUAL REPORT | 2023-02-22 |
| LC Amendment | 2022-06-22 |
| Florida Limited Liability | 2022-06-13 |
| CORLCMMRES | 2022-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
