Search icon

REJUVENX OF BOYNTON BEACH, LLC

Company Details

Entity Name: REJUVENX OF BOYNTON BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Aug 2022 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Nov 2022 (2 years ago)
Document Number: L22000360407
FEI/EIN Number 88-3774829
Mail Address: 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292
Address: 3200 S. CONGRESS AVENUE, Suite 102, Boynton Beach, FL 33426
ZIP code: 33426
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669191656 2022-08-24 2022-08-24 1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111608, US 3200 S CONGRESS AVE STE 102, BOYNTON BEACH, FL, 334269041, US

Contacts

Phone +1 561-422-1819

Authorized person

Name DR. TIMOTHY M DECANIO
Role OWNER
Phone 5614221819

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
DECANIO, TIMOTHY Agent 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292

Authorized Representative

Name Role Address
JOSEPH, JEREMIAH Authorized Representative 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292
DECANIO, TIM Authorized Representative 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292

Manager

Name Role Address
REJUVENX HOLDINGS Manager 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-30 3200 S. CONGRESS AVENUE, Suite 102, Boynton Beach, FL 33426 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-11 3200 S. CONGRESS AVENUE, Suite 102, Boynton Beach, FL 33426 No data
LC AMENDMENT 2022-11-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-12
LC Amendment 2022-11-14
Florida Limited Liability 2022-08-17

Date of last update: 11 Jan 2025

Sources: Florida Department of State