| Entity Name: | YIRA VAN DER LINDE, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2013 (11 years ago) |
| Document Number: | L13000172179 |
| FEI/EIN Number | 46-4301337 |
| Address: | 1221 EAST DE SOTO STREET, PENSACOLA, FL 32501 |
| Mail Address: | PO BOX 17506, PENSACOLA, FL 32522 |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992127732 | 2014-01-14 | 2014-01-14 | PO BOX 17506, PENSACOLA, FL, 325227506, US | 1221 E DE SOTO ST, PENSACOLA, FL, 325013337, US | |||||||||||||||||||
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| Phone | +1 850-439-2100 |
| Fax | 8504392122 |
Authorized person
| Name | YIRA VAN DER LINDE |
| Role | OWNER |
| Phone | 8504392100 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME94242 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTEGA, ALFREDO | Agent | 909 BUCYRUS LANE, CANTONMENT, FL 32533 |
| Name | Role | Address |
|---|---|---|
| VAN DER LINDE, YIRA, DR | Manager | 1221 EAST DE SOTO STREET, PENSACOLA, FL 32501 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-06 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-03-03 |
| ANNUAL REPORT | 2018-03-17 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-13 |
| ANNUAL REPORT | 2015-02-03 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
