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DIEZ MEDICAL LLC

Company Details

Entity Name: DIEZ MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jul 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2023 (a year ago)
Document Number: L20000196291
FEI/EIN Number 85-2085049
Address: 16881 SW 278TH ST, HOMESTEAD, FL, 33031, US
Mail Address: 16881 SW 278TH ST, HOMESTEAD, FL, 33031, US
ZIP code: 33031
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407444730 2021-01-04 2021-08-09 16881 SW 278TH ST, HOMESTEAD, FL, 330312745, US 1414 NW 107TH AVE STE 205, SWEETWATER, FL, 331722741, US

Contacts

Phone +1 786-253-9513
Fax 7869336651

Authorized person

Name BORIS D DIEZ
Role MANAGER
Phone 7862539513

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
DIEZ BORIS Agent 16881 SW 278TH ST, HOMESTEAD, FL, 33031

Manager

Name Role Address
DIEZ BORIS Manager 16881 SW 278TH ST, HOMESTEAD, FL, 33031

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-19 No data No data
REGISTERED AGENT NAME CHANGED 2023-10-19 DIEZ, BORIS No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-29
REINSTATEMENT 2023-10-19
ANNUAL REPORT 2022-09-19
ANNUAL REPORT 2021-03-01
Florida Limited Liability 2020-07-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State