| Entity Name: | MESAESTHETICS & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2023 (a year ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 18 Dec 2023 (a year ago) |
| Document Number: | L23000486145 |
| FEI/EIN Number | 93-4113200 |
| Address: | 3645 Cortez Rd West, Bradenton, FL, 34210, US |
| Mail Address: | 3645 Cortez Rd West, Bradenton, FL, 34210, US |
| ZIP code: | 34210 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194589846 | 2024-02-12 | 2024-02-16 | PO BOX 777698, HENDERSON, NV, 890777698, US | 3645 CORTEZ RD W STE 110, BRADENTON, FL, 342103161, US | |||||||||||||||
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| Phone | +1 831-975-6010 |
| Fax | 9496954150 |
Authorized person
| Name | KANDY MORRIS |
| Role | DIRECTOR OF MANAGED CARE |
| Phone | 7027280528 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MESA NATHALIA Dr. | Agent | 11603 BLUEBIRD PLACE, LAKEWOOD RANCH, FL, 34211 |
| Name | Role | Address |
|---|---|---|
| MESA NATHALIA Dr. | Auth | 11603 BLUEBIRD PLACE, LAKEWOOD RANCH, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-11 | 3645 Cortez Rd West, 110, Bradenton, FL 34210 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-11 | 3645 Cortez Rd West, 110, Bradenton, FL 34210 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-11 | MESA, NATHALIA, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-11 | 11603 BLUEBIRD PLACE, LAKEWOOD RANCH, FL 34211 | No data |
| LC NAME CHANGE | 2023-12-18 | MESAESTHETICS & WELLNESS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| LC Name Change | 2023-12-18 |
| Florida Limited Liability | 2023-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
