| Entity Name: | DIETVANA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Feb 2021 (4 years ago) |
| Document Number: | L21000067634 |
| FEI/EIN Number | 86-2192375 |
| Address: | 3221 NW 61st street, Boca Raton, FL, 33496, US |
| Mail Address: | 3221 NW 61st street, Boca Raton, FL, 33496, US |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235714957 | 2021-03-15 | 2021-03-29 | 301 E YAMATO RD STE 1240, BOCA RATON, FL, 334314931, US | 301 E YAMATO RD STE 1240, BOCA RATON, FL, 334314931, US | |||||||||||||
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| Phone | +1 786-203-9130 |
Authorized person
| Name | MRS. MONICA L CAPILLE |
| Role | REGISTERED DIETITIAN |
| Phone | 7862039130 |
Taxonomy
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Capille Monica | Agent | 3221 NW 61st street, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| capille monica l | Manager | 3221 NW 61st street, Boca Raton, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-30 | Capille, Monica | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-30 | 3221 NW 61st street, Boca Raton, FL 33496 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-15 | 3221 NW 61st street, Boca Raton, FL 33496 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-15 | 3221 NW 61st street, Boca Raton, FL 33496 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-07-15 |
| Florida Limited Liability | 2021-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
