| Entity Name: | ANTI-AGING, AESTHETIC AND LASER CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Sep 2007 (17 years ago) |
| Date of dissolution: | 06 Jul 2010 (15 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 06 Jul 2010 (15 years ago) |
| Document Number: | P07000101766 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 175 SW 7TH STREET, SUITE 1710, MIAMI, FL, 33130 |
| Mail Address: | 175 SW 7TH STREET, SUITE 1710, MIAMI, FL, 33130 |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144546789 | 2010-04-07 | 2010-09-08 | 175 SW 7TH ST, SUITE 1710, MIAMI, FL, 331302992, US | 175 SW 7TH ST, SUITE 1710, MIAMI, FL, 331302992, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-539-4901 |
| Fax | 7865394904 |
Authorized person
| Name | OLEG RYBAK |
| Role | OWNER/PRESIDENT |
| Phone | 7865394901 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2082S0105X - Surgery of the Hand (Plastic Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | OSR 674 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | HCC8118 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RYBAK OLEG | Agent | 175 SW 7TH STREET, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| RYBAK OLEG | President | 175 SW 7TH STREET #1710, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| RYBAK OLEG | Treasurer | 175 SW 7TH STREET #1710, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| RYBAK SERGEY | Vice President | 175 SW 7TH STREET #1710, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| RYBAK SERGEY | Secretary | 175 SW 7TH STREET #1710, MIAMI, FL, 33130 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2010-07-06 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L10000071747. CONVERSION NUMBER 500000106115 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-03-16 |
| Domestic Profit | 2007-09-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
