| Entity Name: | LAVERNIA MEDI-SPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAVERNIA MEDI-SPA, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Aug 2004 (21 years ago) |
| Date of dissolution: | 19 Jan 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jan 2012 (13 years ago) |
| Document Number: | P04000124742 |
| FEI/EIN Number |
201567738
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7902 NW 36 STREET, SUITE 201, MIAMI, FL, 33166 |
| Mail Address: | 7902 NW 36 STREET, SUITE 201, MIAMI, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689753030 | 2006-11-06 | 2020-08-22 | 7902 N.W. 36 STREET, 201, DORAL, FL, 33166, US | 7902 N.W. 36 STREET, SUITE 201, MIAMI, FL, 33166, US | |||||||||||||||||||||||||
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| Phone | +1 305-629-9662 |
| Fax | 3056299663 |
Authorized person
| Name | MR. PEDRO L PUEBLA |
| Role | PRESIDENT |
| Phone | 3056299662 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC5400 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC5400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANEIRO ANDREINA L | President | 7902 NW 36 STREET, SUITE 201, MIAMI, FL, 33166 |
| MANEIRO ANDREINA L | Agent | 7902 NW 36 STREET, MIAMI, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-01-19 | - | - |
| REGISTERED AGENT NAME CHANGED | 2008-05-05 | MANEIRO, ANDREINA L | - |
| AMENDMENT | 2007-11-09 | - | - |
| NAME CHANGE AMENDMENT | 2005-10-10 | LAVERNIA MEDI-SPA, INC. | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-01-19 |
| ANNUAL REPORT | 2011-05-01 |
| ANNUAL REPORT | 2010-09-16 |
| ANNUAL REPORT | 2009-02-04 |
| ANNUAL REPORT | 2008-05-27 |
| ANNUAL REPORT | 2008-05-05 |
| Amendment | 2007-11-09 |
| ANNUAL REPORT | 2007-06-06 |
| ANNUAL REPORT | 2006-09-07 |
| Name Change | 2005-10-10 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
