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DIANELYS DIAZ APRN LLC

Company Details

Entity Name: DIANELYS DIAZ APRN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Nov 2021 (3 years ago)
Document Number: L21000479598
FEI/EIN Number 87-3430657
Address: 46 SW 36 AVE, MIAMI, FL 33135
Mail Address: 46 SW 36 AVE, MIAMI, FL 33135
ZIP code: 33135
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225767254 2022-06-06 2022-06-06 46 SW 36TH AVE, MIAMI, FL, 331351015, US 46 SW 36TH AVE, MIAMI, FL, 331351015, US

Contacts

Phone +1 786-862-0779

Authorized person

Name DIANELYS DIAZ
Role OWNER
Phone 7868620779

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
DIAZ, DIANELYS Agent 46 SW 36 AVE, MIAMI, FL 33135

Manager

Name Role Address
DIAZ, DIANELYS Manager 46 SW 36 AVE, MIAMI, FL 33135

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-03-04
Florida Limited Liability 2021-11-05

Date of last update: 12 Feb 2025

Sources: Florida Department of State