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MY FUNCTIONAL DIETITIAN LLC

Company Details

Entity Name: MY FUNCTIONAL DIETITIAN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Jul 2020 (5 years ago)
Document Number: L20000223259
FEI/EIN Number 85-2807548
Address: 1045 NE 179TH TER, MIAMI, FL, 33162, US
Mail Address: 1045 NE 179TH TER, MIAMI, FL, 33162, US
ZIP code: 33162
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902542921 2022-05-11 2022-05-11 1045 NE 179TH TER, NORTH MIAMI BEACH, FL, 331621256, US 1045 NE 179TH TER, NORTH MIAMI BEACH, FL, 331621256, US

Contacts

Phone +1 916-633-1626

Authorized person

Name SIMA KAGANAS
Role OWNER
Phone 3052132009

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
Is Primary Yes

Agent

Name Role Address
KAGANAS SIMA Agent 1045 NE 179TH TER, MIAMI, FL, 33162

Manager

Name Role Address
KAGANAS SIMA Manager 1045 NE 179TH TER, MIAMI, FL, 33162

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-03-06
ANNUAL REPORT 2021-01-10
Florida Limited Liability 2020-07-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State