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 |
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 | |||||||||||||
|
Phone | +1 561-422-1819 |
Authorized person
Name | DR. TIMOTHY M DECANIO |
Role | OWNER |
Phone | 5614221819 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DECANIO, TIMOTHY | Agent | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
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 |
Name | Role | Address |
---|---|---|
REJUVENX HOLDINGS | Manager | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
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 |
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