| Entity Name: | GLOSENSE DERMATOLOGY & AESTHETICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Nov 2023 (a year ago) |
| Document Number: | L23000524659 |
| FEI/EIN Number | 93-4630066 |
| Address: | 7875 S.W. 104 STREET SUITE 203, MIAMI, FL 33156 |
| Mail Address: | 7875 S.W. 104 STREET SUITE 203, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194588806 | 2024-02-05 | 2024-03-07 | 7875 SW 104TH ST STE 203, MIAMI, FL, 331562642, US | 7875 SW 104TH ST STE 203, MIAMI, FL, 331562642, US | |||||||||||||
|
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| Phone | +1 305-735-8200 |
Authorized person
| Name | JANET LOVATO |
| Role | CREDENTIALING SPECIALIST |
| Phone | 8774439337 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, ANNIE | Agent | 7875 S.W. 104 STREET SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, ANNIE | Member | 7875 S.W. 104 STREET SUITE 203, MIAMI, FL 33156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Florida Limited Liability | 2023-11-27 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
