| Entity Name: | NIEVES-NIEVES, PULMONARY, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2017 (8 years ago) |
| Document Number: | L17000037902 |
| FEI/EIN Number | 81-5439927 |
| Address: | 416 Bayberry Drive, Plantation, FL, 33317, US |
| Mail Address: | PO BOX 16357, Plantation, FL, 33318, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891298832 | 2018-03-15 | 2018-03-15 | PO BOX 16357, PLANTATION, FL, 333186357, US | 10794 PINES BLVD, PEMBROKE PINES, FL, 330263920, US | |||||||||||||||||
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| Phone | +1 954-538-8543 |
Authorized person
| Name | JOSE J NIEVES |
| Role | MD |
| Phone | 7873651018 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME125202 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NIEVES JOSE J | Agent | 416 BAYBERRY DRIVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| Nieves Jose J | Mr | PO BOX 16357, Plantation, FL, 33318 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-13 | 416 Bayberry Drive, Plantation, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-13 | 416 Bayberry Drive, Plantation, FL 33317 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-03-28 |
| Florida Limited Liability | 2017-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
