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BREEZE AESTHETICS, INC.

Company Details

Entity Name: BREEZE AESTHETICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Aug 2019 (5 years ago)
Document Number: P19000068536
FEI/EIN Number 84-2966216
Address: 5763 Stewart Ave, PORT ORANGE, FL, 32127, US
Mail Address: 5763 STEWART AVE, PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255051264 2022-08-30 2024-03-25 5763 STEWART AVE, PORT ORANGE, FL, 321274703, US 5763 STEWART AVE, PORT ORANGE, FL, 321274703, US

Contacts

Phone +1 386-295-3512
Fax 3862227376

Authorized person

Name ANN M GAFFKA
Role PRESIDENT
Phone 3862953512

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
GAFFKA ANN M Agent 5763 STEWART AVE, PORT ORANGE, FL, 32127

President

Name Role Address
GAFFKA ANN M President 5763 STEWART AVE, PORT ORANGE, FL, 32127

Vice President

Name Role Address
Gaffka Bruce J Vice President 5763 STEWART AVE, PORT ORANGE, FL, 32127

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000099307 BREEZE AESTHETICS & FAMILY PRACTICE ACTIVE 2023-08-24 2028-12-31 No data 5763 STEWART AVE, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-11-21 5763 Stewart Ave, PORT ORANGE, FL 32127 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-28
Domestic Profit 2019-08-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State