| Entity Name: | JL LARIA APRN, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | P19000044990 |
| FEI/EIN Number | 84-1970877 |
| Address: | 6510 SW 65th St, Miami, FL, 33143, US |
| Mail Address: | 6510 SW 65th St, MIAMI, FL, 33143, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417562414 | 2020-09-15 | 2020-09-15 | 5751A SW 40TH ST, MIAMI, FL, 331555301, US | 5751A SW 40TH ST, MIAMI, FL, 331555301, US | |||||||||||||
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| Phone | +1 305-299-7290 |
Authorized person
| Name | JOSE L LARIA |
| Role | CEO |
| Phone | 3053082513 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LARIA JOSE L | Agent | 6510 SW 65th St, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| LARIA JOSE L | President | 6510 SW 65th St, MIAMI, FL, 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000098196 | LARIA MEDSPA | EXPIRED | 2019-09-06 | 2024-12-31 | No data | 501 NW 60 AVE, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-29 | 6510 SW 65th St, Miami, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 6510 SW 65th St, Miami, FL 33143 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 6510 SW 65th St, MIAMI, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-06-29 |
| Domestic Profit | 2019-05-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
