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THE RECOVERY DIETITIAN LLC

Company Details

Entity Name: THE RECOVERY DIETITIAN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 05 May 2021 (4 years ago)
Document Number: L21000164142
FEI/EIN Number 863131177
Address: 6195 SHADOW TREE LANE, LAKE WORTH, FL, 33463, US
Mail Address: 6195 SHADOW TREE LANE, LAKE WORTH, FL, 33463, US
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831946425 2024-05-02 2024-05-02 6195 SHADOW TREE LN, LAKE WORTH, FL, 334638239, US 6195 SHADOW TREE LN, LAKE WORTH, FL, 334638239, US

Contacts

Phone +1 561-951-5588

Authorized person

Name DANA BURNS
Role OWNER, DIETITIAN
Phone 5619515588

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
Is Primary Yes

Agent

Name Role Address
BURNS DANA Agent 6195 SHADOW TREE LANE, LAKE WORTH, FL, 33463

Authorized Member

Name Role Address
BURNS DANA Authorized Member 6195 SHADOW TREE LANE, LAKE WORTH, FL, 33463

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-05-05 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-04-19
LC Amendment 2021-05-05
Florida Limited Liability 2021-04-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State