| Entity Name: | BLOOMINGDALE ACUPUNCTURE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Feb 2006 (19 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 22 Oct 2007 (17 years ago) |
| Document Number: | P06000021615 |
| FEI/EIN Number | 861163716 |
| Address: | 10419 Kankakee Lane, Riverview, FL, 33578, US |
| Mail Address: | 10419 Kankakee Lane, Riverview, FL, 33578, US |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457713976 | 2016-03-23 | 2023-05-24 | 10419 KANKAKEE LN, RIVERVIEW, FL, 335788302, US | 10015 PARK PLACE AVE, RIVERVIEW, FL, 335785303, US | |||||||||||||||||||
|
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| Phone | +1 813-341-2200 |
| Fax | 8014690016 |
Authorized person
| Name | DR. GUILLERMO CACERES |
| Role | OWNER |
| Phone | 8133412200 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1469 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CACERES GUILLERMO | Agent | 10419 Kankakee Lane, Riverview, FL, 33578 |
| Name | Role | Address |
|---|---|---|
| Caceres Guillermo | Director | 10419 Kankakee Lane, Riverview, FL, 33578 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000067456 | WELLNESS AND NUTRITION OF FLORIDA | ACTIVE | 2022-06-01 | 2027-12-31 | No data | 10312 BLOOMINGDALE AVE, SUITE 108 #201, RIVERVIEW, FL, 33578 |
| G14000100525 | ACUPUNCTURE & NUTRITION OF BRANDON | EXPIRED | 2014-10-02 | 2019-12-31 | No data | 330 PAULS DRIVE, SUITE 102, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-29 | 10419 Kankakee Lane, Riverview, FL 33578 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-29 | 10419 Kankakee Lane, Riverview, FL 33578 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-29 | 10419 Kankakee Lane, Riverview, FL 33578 | No data |
| CANCEL ADM DISS/REV | 2007-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
