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DUC NGUYEN PODIATRY, LLC

Company Details

Entity Name: DUC NGUYEN PODIATRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 May 2021 (4 years ago)
Document Number: L21000246624
FEI/EIN Number 87-1565857
Address: 190 PAVIA PL, SAINT JOHNS, FL 32259
Mail Address: 190 PAVIA PL, SAINT JOHNS, FL 32259
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659943546 2021-07-12 2022-10-16 7509 STATE ROAD 13 N, SAINT AUGUSTINE, FL, 320922230, US 7509 STATE ROAD 13 N, SAINT AUGUSTINE, FL, 320922230, US

Contacts

Phone +1 904-417-8894
Fax 8773704468

Authorized person

Name DR. DUC NGUYEN
Role PODIATRIST
Phone 5867449584

Taxonomy

Taxonomy Code 261QP1100X - Podiatric Clinic/Center
Is Primary Yes

Agent

Name Role Address
NGUYEN, DUC V Agent 190 PAVIA PL, SAINT JOHNS, FL 32259

Manager

Name Role Address
NGUYEN, DUC V Manager 190 PAVIA PL, SAINT JOHNS, FL 32259

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-05-07
Florida Limited Liability 2021-05-26

Date of last update: 14 Jan 2025

Sources: Florida Department of State