| Entity Name: | AGELESS VITALITY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jan 2024 (a year ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 15 Apr 2024 (10 months ago) |
| Document Number: | L24000017271 |
| Address: | 4810 W MCELROY AVE UNIT 6, TAMPA, FL, 33611, US |
| Mail Address: | 301 HARBOUR PLACE DR, UNIT 203, TAMPA, FL, 33602, US |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649008491 | 2024-07-23 | 2024-07-23 | 4810 W MCELROY AVE UNIT 6, TAMPA, FL, 336113213, US | 4810 W MCELROY AVE UNIT 6, TAMPA, FL, 336113213, US | |||||||||||||
|
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| Phone | +1 813-955-4289 |
Authorized person
| Name | DR. ELAINE RIEFKOHL ORTIZ |
| Role | CO-OWNER |
| Phone | 8138952830 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIEFKOHL ORTIZ ELAINE J | Agent | 301 HARBOUR PLACE DR, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| RIEFKOHL ORTIZ ELAINE J | Chief Executive Officer | 4810 W MCELROY AVE UNIT 6, TAMPA, FL, 33611 |
| Name | Role | Address |
|---|---|---|
| MEJIA GARCIA LUIS | Authorized Member | 4810 W MCELROY AVE UNIT 6, TAMPA, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-04-15 | AGELESS VITALITY CENTER LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-15 | 4810 W MCELROY AVE UNIT 6, TAMPA, FL 33611 | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-04-15 |
| Florida Limited Liability | 2024-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
