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TRANSFORMATIONS CLINICAL ENTITY FLORIDA, PLLC

Company Details

Entity Name: TRANSFORMATIONS CLINICAL ENTITY FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Dec 2022 (2 years ago)
Document Number: L22000520176
FEI/EIN Number 88-4392804
Address: 2865 PGA BOULEVARD, PALM BEACH GARDENS, FL 33410
Mail Address: 2865 PGA BOULEVARD, PALM BEACH GARDENS, FL 33410
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457106569 2024-04-22 2024-04-22 2865 PGA BLVD, WEST PALM BEACH, FL, 334102910, US 2865 PGA BLVD, WEST PALM BEACH, FL, 334102910, US

Contacts

Phone +1 561-776-9555

Authorized person

Name DR. LANDON S PRYOR
Role OWNER
Phone 5617769555

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Authorized Member

Name Role Address
PRYOR, LANDON, MD Authorized Member 2865 PGA BOULEVARD, PALM BEACH GARDENS, FL 33410

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000003555 ESTETICA INSTITUTE OF PALM BEACHES ACTIVE 2023-01-09 2028-12-31 No data 2865 PGA BLVD, PALM BEACH GARDENS, FL, 33410

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-02
Florida Limited Liability 2022-12-12

Date of last update: 11 Feb 2025

Sources: Florida Department of State