Entity Name: | BODY BY BARIATRICS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 14 Nov 2022 (2 years ago) |
Document Number: | L22000486874 |
FEI/EIN Number | 92-1079806 |
Address: | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 |
Mail Address: | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 |
ZIP code: | 34787 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992414684 | 2022-11-21 | 2022-11-21 | 7512 DR PHILLIPS BLVD STE 50-792, ORLANDO, FL, 328195420, US | 3030 HARDEN BLVD BLDG 1, LAKELAND, FL, 338037952, US | |||||||||||||
|
Phone | +1 304-374-3584 |
Authorized person
Name | DR. ELIZABETH ANNE DOVEC |
Role | CEO/BARIATRIC SURGEON |
Phone | 3043743584 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DOVEC, ELIZABETH | Agent | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 |
Name | Role | Address |
---|---|---|
WIK, PATRICK A | Manager | 12363 W. Colonial Dr., STE 120 Winter Garden, FL 34787 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-02-02 | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 | No data |
CHANGE OF MAILING ADDRESS | 2025-02-02 | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2025-02-02 | 12363 W. Colonial Dr., STE 120, Winter Garden, FL 34787 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 7512 Dr. Phillips Blvd., Ste 50-792, Orlando, FL 32819 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-02 |
ANNUAL REPORT | 2024-04-30 |
Florida Limited Liability | 2022-11-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State