Entity Name: | REJUVA CARERX LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 14 Nov 2023 (a year ago) |
Document Number: | L23000514500 |
FEI/EIN Number | 93-4477056 |
Address: | 33618 Dolores CT, Leesburg, FL, 34788, US |
Mail Address: | 33618 Dolores CT, Leesburg, FL, 34788, US |
ZIP code: | 34788 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659139566 | 2024-03-06 | 2024-03-06 | 33618 DOLORES CT, LEESBURG, FL, 347883823, US | 33618 DOLORES CT, LEESBURG, FL, 347883823, US | |||||||||||||
|
Phone | +1 352-933-1885 |
Authorized person
Name | MARSHALL H DARBY |
Role | NURSE PRACTITIONER |
Phone | 3529331885 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
UNITED STATES CORPORATION AGENTS, INC. | Agent |
Name | Role | Address |
---|---|---|
DARBY MARSHALL H | Authorized Member | 33618 Dolores CT, Leesburg, FL, 34788 |
DARBY SHERRY M | Authorized Member | 33618 Dolores CT, Leesburg, FL, 34788 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-06 | 33618 Dolores CT, Leesburg, FL 34788 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-06 | 33618 Dolores CT, Leesburg, FL 34788 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
Florida Limited Liability | 2023-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State