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REJUVENE LLC - Florida Company Profile

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Company Details

Entity Name: REJUVENE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Nov 2022 (3 years ago)
Document Number: L22000479050
FEI/EIN Number 88-4292870
Address: 531 South 6th Street, MACCLENNY, FL, 32063, US
Mail Address: 531 South 6th Street, MACCLENNY, FL, 32063, US
ZIP code: 32063
City: Macclenny
County: Baker
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIROIS RACHEL Manager 1250 South 5th Street, MACCLENNY, FL, 32063
SIROIS RACHEL Agent 531 South 6th Street, MACCLENNY, FL, 32063

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
RACHEL SIROIS
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3347064

Unique Entity ID

Unique Entity ID:
KFQ9CRNHX766
CAGE Code:
0EMQ0
UEI Expiration Date:
2025-11-24

Business Information

Activation Date:
2024-11-27
Initial Registration Date:
2024-11-24

Commercial and government entity program

CAGE number:
0EMQ0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-27
CAGE Expiration:
2029-11-27
SAM Expiration:
2025-11-24

Contact Information

POC:
RACHEL SIROIS

National Provider Identifier

NPI Number:
1073219523
Certification Date:
2024-03-21

Authorized Person:

Name:
RACHEL SIROIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
9043753554

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000017907 REJUVENE FAMILY MEDICINE ACTIVE 2023-02-07 2028-12-31 - 531 SOUTH 6TH STREET, SUITE C, MACCLENNY, FL, 32063

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-06 531 South 6th Street, MACCLENNY, FL 32063 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 531 South 6th Street, MACCLENNY, FL 32063 -
CHANGE OF MAILING ADDRESS 2023-01-31 531 South 6th Street, MACCLENNY, FL 32063 -

Documents

Name Date
ANNUAL REPORT 2024-02-06
AMENDED ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2023-01-31
Florida Limited Liability 2022-11-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State