| Entity Name: | SAMANTHA BETHEL-ELLISON, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Mar 2021 (4 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Apr 2021 (4 years ago) |
| Document Number: | P21000031860 |
| FEI/EIN Number | 86-3182041 |
| Address: | 6100 PRAISE AVE., SEBRING, FL, 33876, US |
| Mail Address: | 6100 PRAISE AVE., SEBRING, FL, 33876, US |
| ZIP code: | 33876 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MCLEAN DOUGLAS A | Agent | 300 CIRCLE PARK DRIVE, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| BETHEL-ELLISON SAMANTHA | Director | 6100 PRAISE AVE., SEBRING, FL, 33876 |
| Name | Role | Address |
|---|---|---|
| BETHEL-ELLISON SAMANTHA | President | 6100 PRAISE AVE., SEBRING, FL, 33876 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000147687 | SAM ELLISON MD AESTHETICS | ACTIVE | 2022-12-01 | 2027-12-31 | No data | 114 S. RIDGEWOOD DR., SEBRING, FL, 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2021-04-14 | SAMANTHA BETHEL-ELLISON, MD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-02-15 |
| Name Change | 2021-04-14 |
| Domestic Profit | 2021-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
