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JAMES A. DIIENNO, D.C., P.A.

Company Details

Entity Name: JAMES A. DIIENNO, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Nov 1981 (43 years ago)
Document Number: F55612
FEI/EIN Number 592136069
Address: 19 Birdie Lane, Palm Harbor, FL, 34683, US
Mail Address: 19 Birdie Lane, Palm Harbor, FL, 34683, US
ZIP code: 34683
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669474367 2005-08-11 2008-06-16 424 DOUGLAS AVE, DUNEDIN, FL, 346987602, US 424 DOUGLAS AVE, DUNEDIN, FL, 346987602, US

Contacts

Phone +1 727-734-1901
Fax 7277364000

Authorized person

Name JAMES A DIIENNO
Role PRESIDENT
Phone 7277341901

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 380336800
State FL

Agent

Name Role Address
DIIENNO, JAMES A. Agent 19 Birdie Lane, Palm Harbor, FL, 34683

President

Name Role Address
DI IENNO JAMES A President 19 Birdie Lane, Palm Harbor, FL, 34683

Secretary

Name Role Address
DI IENNO JAMES A Secretary 19 Birdie Lane, Palm Harbor, FL, 34683

Director

Name Role Address
DI IENNO JAMES A Director 19 Birdie Lane, Palm Harbor, FL, 34683
ROMEO DONNA A Director 19 Birdie Lane, Palm Harbor, FL, 34683

Vice President

Name Role Address
ROMEO DONNA A Vice President 19 Birdie Lane, Palm Harbor, FL, 34683

Treasurer

Name Role Address
ROMEO DONNA A Treasurer 19 Birdie Lane, Palm Harbor, FL, 34683

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-12-30 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State