| Entity Name: | DIAZ-MORENO ENTERPRISES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 May 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2018 (6 years ago) |
| Document Number: | L15000093210 |
| FEI/EIN Number | 47-4105847 |
| Address: | 1251 W FOREST LAKE DRIVE, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 1251 W FOREST LAKE DRIVE, ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174048755 | 2017-08-04 | 2022-07-21 | 1251 W FOREST LAKE DR, ALTAMONTE SPRINGS, FL, 327142837, US | 1251 W FOREST LAKE DR, ALTAMONTE SPRINGS, FL, 327142837, US | |||||||||||||||||||||||
|
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| Phone | +1 407-346-6530 |
Authorized person
| Name | MRS. ELIZABETH DIAZ-MORENO |
| Role | OWNER, THERAPIST |
| Phone | 4073466530 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA7971 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889010200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIAZ-MORENO, ELIZABETH | Agent | 1251 W FOREST LAKE DRIVE, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| DIAZ-MORENO, ELIZABETH | Manager | 1251 W FOREST LAKE DRIVE, ALTAMONTE SPRINGS, FL 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-11-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-01 | DIAZ-MORENO, ELIZABETH | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-17 |
| REINSTATEMENT | 2018-10-01 |
| REINSTATEMENT | 2017-09-29 |
| REINSTATEMENT | 2016-11-01 |
| Florida Limited Liability | 2015-05-27 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
