Entity Name: | AQ SURGERY II, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 16 May 2023 (2 years ago) |
Document Number: | L23000240271 |
FEI/EIN Number | 93-1395777 |
Address: | 1411 N FLAGLER DR, STE 7600, WEST PALM BEACH, FL, 33401, US |
Mail Address: | 1411 N FLAGLER DR, STE 7600, WEST PALM BEACH, FL, 33401, US |
ZIP code: | 33401 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861186579 | 2023-06-06 | 2023-06-06 | 1411 N FLAGLER DR STE 7600, WEST PALM BEACH, FL, 334013419, US | 1411 N FLAGLER DR STE 7600, WEST PALM BEACH, FL, 334013419, US | |||||||||||||||
|
Phone | +1 561-202-1070 |
Fax | 5312021075 |
Authorized person
Name | ANASTASIYA QUIMBY |
Role | PRESIDENT PHYSICIAN |
Phone | 5612021070 |
Taxonomy
Taxonomy Code | 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GUCCIARDO TRAVIS R | Agent | 5422 BAY CENTER DR, TAMPA, FL, 33609 |
Name | Role | Address |
---|---|---|
QUIMBY ANASTASIYA | Manager | 630 TRIANA ST, WEST PALM BEACH, FL, 33413 |
Name | Role | Address |
---|---|---|
Liu Rosa | Member | 1411 N FLAGLER DR, WEST PALM BEACH, FL, 33401 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000068115 | AQ REVIVE COSMETICS | ACTIVE | 2024-05-30 | 2029-12-31 | No data | 1411 N FLAGLER DR, ST 7600, WEST PALM BEACH, FL, 33401 |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-05-30 |
ANNUAL REPORT | 2024-03-28 |
Florida Limited Liability | 2023-05-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State