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