Detail by Entity Name
Florida Limited Liability Company
INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER, LLC
Filing Information
L04000051169
45-0539503
07/09/2004
FL
ACTIVE
REINSTATEMENT
10/04/2018
Principal Address
Changed: 01/29/2009
5535 GRAND BLVD
SUITE C
NEW PORT RICHEY, FL 34652
SUITE C
NEW PORT RICHEY, FL 34652
Changed: 01/29/2009
Mailing Address
Changed: 01/29/2009
5535 GRAND BLVD
SUITE C
NEW PORT RICHEY, FL 34652
SUITE C
NEW PORT RICHEY, FL 34652
Changed: 01/29/2009
Registered Agent Name & Address
Fortner, Florenda L, MD
Name Changed: 10/04/2018
Address Changed: 01/29/2009
5535 GRAND BLVD
SUITE C
NEW PORT RICHEY, FL 34652
SUITE C
NEW PORT RICHEY, FL 34652
Name Changed: 10/04/2018
Address Changed: 01/29/2009
Authorized Person(s) Detail
Name & Address
Title MGRM
FORTNER, FLORENDA MD
Title MGRM
FORTNER, FLORENDA MD
5535 GRAND BLVD, SUITE C
NEW PORT RICHEY, FL 34652
NEW PORT RICHEY, FL 34652
Annual Reports
Report Year | Filed Date |
2022 | 03/28/2022 |
2023 | 02/08/2023 |
2024 | 02/06/2024 |
Document Images