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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
DIIENNO, JAMES A. | Agent | 19 Birdie Lane, Palm Harbor, FL, 34683 |
Name | Role | Address |
---|---|---|
DI IENNO JAMES A | President | 19 Birdie Lane, Palm Harbor, FL, 34683 |
Name | Role | Address |
---|---|---|
DI IENNO JAMES A | Secretary | 19 Birdie Lane, Palm Harbor, FL, 34683 |
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 |
Name | Role | Address |
---|---|---|
ROMEO DONNA A | Vice President | 19 Birdie Lane, Palm Harbor, FL, 34683 |
Name | Role | Address |
---|---|---|
ROMEO DONNA A | Treasurer | 19 Birdie Lane, Palm Harbor, FL, 34683 |
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