| Entity Name: | REJUVENX OF TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jul 2023 (2 years ago) |
| Document Number: | L23000349751 |
| FEI/EIN Number | 93-2682683 |
| Mail Address: | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Address: | 2506 W. Virginia Avenue Unit B, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457034126 | 2023-08-09 | 2023-08-09 | 1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111608, US | 2506 W VIRGINIA AVE UNIT B, TAMPA, FL, 336076326, US | |||||||||||||||
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| Phone | +1 561-422-1819 |
| Phone | +1 941-697-3001 |
Authorized person
| Name | DR. TIMOTHY DECANIO |
| Role | OWNER |
| Phone | 5614221819 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DECANIO, TIMOTHY | Agent | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| REJUVENX HOLDINGS, LLC | Manager | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| DECANIO, TIMOTHY | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| JOSEPH, JEREMIAH | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 2506 W. Virginia Avenue Unit B, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-11 | 2506 W. Virginia Avenue Unit B, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Florida Limited Liability | 2023-07-24 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
