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TIA DWANA COLLECTION LLC

Company Details

Entity Name: TIA DWANA COLLECTION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Nov 2020 (4 years ago)
Document Number: L20000365665
FEI/EIN Number 86-1515779
Address: 7845 PARADISE ISLAND BLVD, 6010, JACKSONVILLE, FL, 32256, US
Mail Address: 7643 Gate parkway, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538756630 2020-12-23 2021-01-18 7643 GATE PKWY STE 104-333, JACKSONVILLE, FL, 322562893, US 7643 GATE PKWY STE 104-333, JACKSONVILLE, FL, 322562893, US

Contacts

Phone +1 904-532-3475
Fax 9049778900

Authorized person

Name TIMOTHEA WHITEHURST
Role OWNER
Phone 9045323475

Taxonomy

Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
Is Primary Yes

Agent

Name Role Address
WHITEHURST TIMOTHEA D Agent 7845 PARADISE ISLAND BLVD, JACKSONVILLE, FL, 32256

Chief Executive Officer

Name Role Address
WHITEHURST TIMOTHEA D Chief Executive Officer 7643 GATE PARKWAY, JACKSONVILLE, FL, 32256

Chief Operating Officer

Name Role Address
Cado Braelyn J Chief Operating Officer 7845 PARADISE ISLAND BLVD, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-01-18 7845 PARADISE ISLAND BLVD, 6010, JACKSONVILLE, FL 32256 No data

Documents

Name Date
ANNUAL REPORT 2024-04-06
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-01-18
Florida Limited Liability 2020-11-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State