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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GAFFKA ANN M | Agent | 5763 STEWART AVE, PORT ORANGE, FL, 32127 |
Name | Role | Address |
---|---|---|
GAFFKA ANN M | President | 5763 STEWART AVE, PORT ORANGE, FL, 32127 |
Name | Role | Address |
---|---|---|
Gaffka Bruce J | Vice President | 5763 STEWART AVE, PORT ORANGE, FL, 32127 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-11-21 | 5763 Stewart Ave, PORT ORANGE, FL 32127 | No data |
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