| Entity Name: | MIGUEL A. GUTIERREZ-DIAZ, D.O., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 May 2020 (5 years ago) |
| Document Number: | L20000120618 |
| FEI/EIN Number | 850975504 |
| Address: | 4700 BAYOU BLVD., SUITE 2C, PENSACOLA, FL, 32503, US |
| Mail Address: | 4700 BAYOU BLVD., SUITE 2C, PENSACOLA, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114542867 | 2020-06-09 | 2020-06-09 | 4700 BAYOU BLVD STE 2C, PENSACOLA, FL, 325032670, US | 4700 BAYOU BLVD STE 2C, PENSACOLA, FL, 325032670, US | |||||||||||||
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| Phone | +1 850-501-3935 |
Authorized person
| Name | EDDY GUTIERREZ-DIAZ |
| Role | OFFICE MANAGER |
| Phone | 8505013935 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MIGUEL A. GUTIERREZ-DIAZ, D.O., PLLC | Agent |
| Name | Role |
|---|---|
| MIGUEL A. GUTIERREZ-DIAZ, D.O., PLLC | Manager |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-18 |
| Florida Limited Liability | 2020-05-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
