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JUVENIS MEDICAL, LLC - Florida Company Profile

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Company Details

Entity Name: JUVENIS MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Sep 2022 (3 years ago)
Document Number: L22000399580
FEI/EIN Number 92-0262281
Address: 1164 E Oakland Park Blvd, Suite 202, Oakland Park, FL, 33334, US
Mail Address: 1164 E Oakland Park Blvd, Suite 201, Oakland Park, FL, 33334, US
ZIP code: 33334
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GOODKIN PAUL Authorized Representative 4750 N FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308
GOODKIN PAUL S Agent 1164 E Oakland Park Blvd, Oakland Park, FL, 33334
Macek Tom Director 1164 E Oakland Park Blvd, Oakland Park, FL, 33334

National Provider Identifier

NPI Number:
1154043412
Certification Date:
2022-09-14

Authorized Person:

Name:
PAUL GOODKIN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
164W00000X - Licensed Practical Nurse
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9547769953

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000035094 PEPTIDES AND HORMONES ACTIVE 2023-03-16 2028-12-31 - 4750 N FEDERAL HIGHWAY STE 203, FORT LAUDERDALE, FL, 33308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-14 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL 33308 -
CHANGE OF MAILING ADDRESS 2024-02-14 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL 33308 -

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-23
Florida Limited Liability 2022-09-13

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Date of last update: 01 Aug 2025

Sources: Florida Department of State