| Entity Name: | BORN DIAGNOSTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 May 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000087202 |
| Address: | 6831 NW 20 AVE., SUITE 107, FORT LAUDERDALE, FL, 33309 |
| Mail Address: | 6831 NW 20 AVE., SUITE 107, FORT LAUDERDALE, FL, 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699123034 | 2016-05-26 | 2016-05-26 | 340 SW QUIET WOODS, PORT SAINT LUCIE, FL, 349538230, US | 6831 NW 20TH AVE, SUITE 107, FORT LAUDERDALE, FL, 333091505, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 772-828-6992 |
Authorized person
| Name | BETH IRIS HERNANDEZ |
| Role | CEO |
| Phone | 7728286992 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ BETH | Agent | 340 SW QUIET WOODS, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ BETH | Manager | 340 SW QUIET WOODS, PORT SAINT LUCIE, FL, 34953 |
| HERNANDEZ RAFAEL JR | Manager | 340 SW QUIET WOODS, PORT SAINT LUCIE, FL, 34953 |
| ARIAS OSCAR | Manager | 131 ENNIS LANE, JUPITER, FL, 33458 |
| HERNANDEZ NESTOR | Manager | 633 SW DAIRY RD, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-05-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
