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JENNIFER WAGNER INC

Company Details

Entity Name: JENNIFER WAGNER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 21 Apr 2014 (11 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P14000035314
FEI/EIN Number N/A
Address: 3700 Washington Street, 403, Hollywood, FL 33021
Mail Address: 19111 Collins Avenue, Apt 102, Sunny Isles Beach, FL 33160
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467846956 2015-03-24 2015-03-24 20201 NE 21ST AVE, MIAMI, FL, 331792804, US 20201 NE 21ST AVE, MIAMI, FL, 331792804, US

Contacts

Phone +1 305-987-4443

Authorized person

Name JENNIFER WAGNER
Role OWNER
Phone 3059874443

Taxonomy

Taxonomy Code 363AS0400X - Surgical Physician Assistant
License Number PA9101701
State FL
Is Primary Yes

Agent

Name Role
ARS & ASSOCIATES, INC. Agent

President

Name Role Address
WAGNER, JENNIFER President 19111 Collins Avenue, Apt 102 Sunny Isles Beach, FL 33160

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000130912 THE WRINKLE CLINIC EXPIRED 2018-12-11 2023-12-31 No data 3700 WASHINGTON ST #403, HOLLYWOOD, FL, 33021
G18000126320 VIP MIAMI AESTHETICS EXPIRED 2018-11-29 2023-12-31 No data 3700 WASHINGTON ST #403, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-11 3700 Washington Street, 403, Hollywood, FL 33021 No data
CHANGE OF MAILING ADDRESS 2018-01-26 3700 Washington Street, 403, Hollywood, FL 33021 No data

Documents

Name Date
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-04-13
Domestic Profit 2014-04-21

Date of last update: 21 Jan 2025

Sources: Florida Department of State