| Entity Name: | METAMORPHOSIS MEDISPA AND WELLNESS CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Sep 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000075119 |
| FEI/EIN Number | 47-2656076 |
| Address: | 2124 TYLER STREET, HOLLYWOOD, FL 33020 |
| Mail Address: | 6242 INDIAN FOREST CIRCLE, LAKE WORTH, FL 33463 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861898843 | 2014-11-18 | 2015-02-27 | 2104 TYLER ST, HOLLYWOOD, FL, 330206717, US | 2104 TYLER ST, HOLLYWOOD, FL, 330206717, US | |||||||||||||||
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| Phone | +1 561-275-9522 |
| Fax | 5612280773 |
Authorized person
| Name | SIMONE VAN - HORNE |
| Role | CEO |
| Phone | 3157756018 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAN-HORNE, SIMONE | Agent | 6242 INDIAN FOREST CIRCLE, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| VAN-HORNE, SIMONE, MD | President | 6242 INDIAN FOREST CIRCLE, LAKE WORTH, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-28 | 2124 TYLER STREET, HOLLYWOOD, FL 33020 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-28 |
| Domestic Profit | 2014-09-10 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
