| Entity Name: | MEDSPA & PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Nov 2023 (a year ago) |
| Document Number: | L23000498877 |
| FEI/EIN Number | 93-4348072 |
| Address: | 825 E Cowboy Way, 106, Labelle, FL 33935 |
| Mail Address: | 825 E Cowboy Way, 106, Labelle, FL 33935 |
| ZIP code: | 33935 |
| County: | Hendry |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548021314 | 2024-01-18 | 2024-03-27 | 825 E COWBOY WAY STE 106, LABELLE, FL, 339354491, US | 825 E COWBOY WAY STE 106, LABELLE, FL, 339354491, US | |||||||||||||||
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| Phone | +1 863-230-8163 |
| Fax | 8632308273 |
Authorized person
| Name | AHITZA CARRAZANA ESTRADA |
| Role | APRN |
| Phone | 8632308163 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARRAZANA ESTRADA, AHITZA | Agent | 825 E Cowboy Way, 106, Labelle, FL 33935 |
| Name | Role | Address |
|---|---|---|
| CARRAZANA ESTRADA, AHITZA | Manager | 825 E Cowboy Way, 106 Labelle, FL 33935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-27 | 825 E Cowboy Way, 106, Labelle, FL 33935 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-27 | 825 E Cowboy Way, 106, Labelle, FL 33935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-27 | 825 E Cowboy Way, 106, Labelle, FL 33935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| Florida Limited Liability | 2023-11-02 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
