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LAYA SLEEP CLINIC LLC

Company Details

Entity Name: LAYA SLEEP CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Apr 2019 (6 years ago)
Document Number: L19000110794
FEI/EIN Number 83-4607359
Address: 348 SW MIRACLE STRIP PKWY 15A, FORT WALTON BEACH, FL, 32548, UN
Mail Address: 348 SW MIRACLE STRIP PKWY 15-A, FORT WALTON BEACH, FL, 32548, UN
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003471236 2019-05-02 2019-05-24 348 MIRACLE STRIP PKWY SW STE 15A, FORT WALTON BEACH, FL, 325485258, US 348 MIRACLE STRIP PKWY SW STE 15A, FORT WALTON BEACH, FL, 325485258, US

Contacts

Phone +1 850-865-5709

Authorized person

Name NICK JAZAYERI
Role DENTIST
Phone 8508655709

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
JAZAYERI NICK Agent 348 SW MIRACLE STRIP PKWY 15A, FORT WALTON BEACH, FL, 32548

Manager

Name Role Address
JAZAYERI NICK Manager 348 SW MIRACLE STRIP PKWY 15A, FORT WALTON BEACH, FL, 32548

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-01-14
Florida Limited Liability 2019-04-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State