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DOM THE OT LLC

Company Details

Entity Name: DOM THE OT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Jul 2021 (4 years ago)
Document Number: L21000341508
FEI/EIN Number 87-2202381
Address: 5690 ATLANTIC AVE., 204, DELRAY BEACH, FL, 33484, US
Mail Address: 5690 ATLANTIC AVE., 204, DELRAY BEACH, FL, 33484, US
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164191284 2021-09-10 2021-09-10 5690 ATLANTIC AVE APT 204, DELRAY BEACH, FL, 334848217, US 5690 ATLANTIC AVE APT 204, DELRAY BEACH, FL, 334848217, US

Contacts

Phone +1 786-390-6614

Authorized person

Name DOMINIQUE ALEXIS
Role OWNER
Phone 7863906614

Taxonomy

Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary Yes
Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary No

Agent

Name Role Address
ALEXIS DOMINIQUE Y Agent 10990 SW 138 STREET, MIAMI, FL, 33176

Manager

Name Role Address
ALEXIS DOMINIQUE Y Manager 10990 SW 138 STREET, Miami, FL, 33176

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-03
ANNUAL REPORT 2022-03-31
Florida Limited Liability 2021-07-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State