| Entity Name: | JUVENIS MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Sep 2022 (2 years ago) |
| Document Number: | L22000399580 |
| FEI/EIN Number | 92-0262281 |
| Address: | 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154043412 | 2022-09-14 | 2022-09-14 | 4750 N FEDERAL HWY STE 203, FORT LAUDERDALE, FL, 333084609, US | 4750 N FEDERAL HWY STE 203, FORT LAUDERDALE, FL, 333084609, US | |||||||||||||||||||
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| Phone | +1 954-494-3711 |
| Fax | 9547769953 |
Authorized person
| Name | PAUL GOODKIN |
| Role | CEO |
| Phone | 9544943711 |
Taxonomy
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOODKIN PAUL S | Agent | 4750 N FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| GOODKIN PAUL | Authorized Representative | 4750 N FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000035094 | PEPTIDES AND HORMONES | ACTIVE | 2023-03-16 | 2028-12-31 | No data | 4750 N FEDERAL HIGHWAY STE 203, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-14 | 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-14 | 5353 N FEDERAL HIGHWAY, SUITE 220, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-23 |
| Florida Limited Liability | 2022-09-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
