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ETHEREAL MEDSPA LLC - Florida Company Profile

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Company Details

Entity Name: ETHEREAL MEDSPA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Feb 2025 (6 months ago)
Document Number: L25000098311
Address: 13011 SW 132ND STREET, MIAMI, FL, 33186, US
Mail Address: 16894 SW 143 PLACE, MIAMI, FL, 33177, US
ZIP code: 33186
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GOMEZ HERNANDEZ ISABEL MARIA Manager 16894 SW 143 PLACE, MIAMI, FL, 33177
GOMEZ HERNANDEZ ISABEL MARIA Agent 16894 SW 143 PLACE, MIAMI, FL, 33177
RAYO GOMEZ HUAN DIOSBEL Manager 16894 SW 143 PLACE, MIAMI, FL, 33177
RAYO GOMEZ ALEJANDRO Manager 16894 SW 143 PLACE, MIAMI, FL, 33177

National Provider Identifier

NPI Number:
1750182168
Certification Date:
2025-03-21

Authorized Person:

Name:
ISABEL M GOMEZ HERNANDEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CONVERSION 2025-02-25 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P24000065750. CONVERSION NUMBER 100000265591

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Date of last update: 01 Aug 2025

Sources: Florida Department of State