| Entity Name: | NATIONAL COSMETIC LASER CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Sep 1997 (27 years ago) |
| Document Number: | P97000078931 |
| FEI/EIN Number | 650822500 |
| Address: | 1356 HERITAGE ACRES BLVD, ROCKLEDGE, FL, 32955 |
| Mail Address: | 1356 HERITAGE ACRES BLVD, ROCKLEDGE, FL, 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215121439 | 2007-08-30 | 2007-11-01 | PO BOX 560977, ROCKLEDGE, FL, 329560977, US | 1974 ROCKLEDGE BLVD STE 102, ROCKLEDGE, FL, 329553723, US | |||||||||||||||||
|
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| Phone | +1 321-639-2404 |
Authorized person
| Name | DR. JACK ANDRU ROSS |
| Role | OWNER |
| Phone | 3215052069 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME38787 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSS JACK A | Agent | 1356 HERITAGE ACRES BLVD, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| ROSS JACK | President | 1356 HERITAGE ACRES BLVD, ROCKLEDGE, FL, 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000020055 | NATIONAL MEDICAL WEIGHT LOSS CENTER AND SPA | EXPIRED | 2011-02-23 | 2016-12-31 | No data | PO BOX 560977, ROCKLEDGE, FL, 32956 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| NAME CHANGE AMENDMENT | 2000-12-06 | NATIONAL COSMETIC LASER CENTER, INC. | No data |
| NAME CHANGE AMENDMENT | 1999-01-29 | JACK ROSS COMMUNICATIONS, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
