| Entity Name: | ANTI-AGING & WELLNESS MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Dec 2006 (18 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P06000151226 |
| FEI/EIN Number | 208014432 |
| Address: | 3325 BAYSHORE BLVD B32, TAMPA, FL, 33629, US |
| Mail Address: | 3325 BAYSHORE BLVD B32, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548456486 | 2007-09-24 | 2011-06-21 | 1502 S MACDILL AVE, TAMPA, FL, 336295214, US | 1502 S MACDILL AVE, TAMPA, FL, 336295214, US | |||||||||||||||||||
|
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| Phone | +1 813-253-3223 |
| Fax | 8132514407 |
Authorized person
| Name | DR. JEAN M ALLEN |
| Role | OWNER |
| Phone | 8132533223 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5170 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN JEAN M | Agent | 3325 BAYSHORE BLVD, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| ALLEN JEAN M | President | 3325 BAYSHORE BLVD, B32, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-20 | 3325 BAYSHORE BLVD B32, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-20 | 3325 BAYSHORE BLVD B32, TAMPA, FL 33629 | No data |
| NAME CHANGE AMENDMENT | 2010-09-10 | ANTI-AGING & WELLNESS MEDICAL CENTER, INC. | No data |
| CANCEL ADM DISS/REV | 2010-01-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 2007-03-12 | SOUTH TAMPA MEDSPA & WELLNESS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-20 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-22 |
| Name Change | 2010-09-10 |
| REINSTATEMENT | 2010-01-05 |
| ANNUAL REPORT | 2008-07-09 |
| Name Change | 2007-03-12 |
| Domestic Profit | 2006-12-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
