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OCEAN BLUE MEDSPA LLC

Company Details

Entity Name: OCEAN BLUE MEDSPA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Aug 2022 (2 years ago)
Document Number: L22000370888
FEI/EIN Number 88-3995299
Address: 195 S. WESTMONTE DRIVE, SUITE 1120, ALTAMONTE SPRINGS, FL, 32714, US
Mail Address: 195 S. WESTMONTE DRIVE, SUITE 1120, ALTAMONTE SPRINGS, FL, 32714, US
ZIP code: 32714
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083324586 2022-11-25 2022-11-25 195 S WESTMONTE DR STE 1120, ALTAMONTE SPRINGS, FL, 327144219, US 195 S WESTMONTE DR STE 1120, ALTAMONTE SPRINGS, FL, 327144219, US

Contacts

Phone +1 407-885-1515

Authorized person

Name KEVIN KING
Role CEO
Phone 4078851515

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
MOREY LAW FIRM, P.A. Agent

Manager

Name Role Address
BRG TRUST Manager 195 S. WESTMONTE DRIVE, ALTAMONTE SPRINGS, FL, 32714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000021970 OCEAN BLUE MEDSPA SUITES ACTIVE 2023-02-15 2028-12-31 No data 195 S WESTMONTE AVE, UNIT 1120, ALTAMONTE SPRINGS, FL, 32714

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-29 195 S. WESTMONTE DRIVE, SUITE 1120, ALTAMONTE SPRINGS, FL 32714 No data
CHANGE OF MAILING ADDRESS 2023-04-29 195 S. WESTMONTE DRIVE, SUITE 1120, ALTAMONTE SPRINGS, FL 32714 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-29
Florida Limited Liability 2022-08-23

Date of last update: 03 Feb 2025

Sources: Florida Department of State