| Entity Name: | SUMMERS ANTI-AGING CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Sep 2023 (a year ago) |
| Document Number: | L23000418935 |
| FEI/EIN Number | 93-3339370 |
| Address: | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 |
| Mail Address: | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801666821 | 2024-01-02 | 2024-01-02 | 5015 4TH ST N, SAINT PETERSBURG, FL, 337032945, US | 5015 4TH ST N, SAINT PETERSBURG, FL, 337032945, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-709-5058 |
Authorized person
| Name | DR. JANICE ALEXANDRA SUMMERS |
| Role | OWNER/PROVIDER |
| Phone | 7277095058 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SWISTAK, JAY L | Agent | 455 NE 5TH AVENUE, SUITE D-400, DELRAY BEACH, FL 33483 |
| Name | Role | Address |
|---|---|---|
| ANDONIADES, MICHAEL | Manager | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 | No data |
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 5015 4TH STREET N, ST. PETERSBURG, FL 33703 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| Florida Limited Liability | 2023-09-07 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
