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ROSA LAURA MEDICAL CLINIC LLC

Company Details

Entity Name: ROSA LAURA MEDICAL CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2022 (3 years ago)
Document Number: L22000094019
FEI/EIN Number 88-1025801
Address: 2335 9th St. N., NAPLES, FL, 34103, US
Mail Address: 630 14TH ST SE, NAPLES, FL, 34117, US
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164165437 2022-04-15 2023-03-06 630 14TH ST SE, NAPLES, FL, 341173695, US 2335 TAMIAMI TRL N STE 203B, NAPLES, FL, 341034442, US

Contacts

Phone +1 786-725-8799
Fax 7868426494

Authorized person

Name DANIEL MORALES
Role PRESIDENT
Phone 7867258799

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
DANIEL MORALES Agent 630 14TH ST SE, NAPLES, FL, 34117

Authorized Member

Name Role Address
DANIEL MORALES Authorized Member 630 14TH ST SE, NAPLES, FL, 34117

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-16 2335 9th St. N., Suite 203B, NAPLES, FL 34103 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-02-23
Florida Limited Liability 2022-03-07

Date of last update: 03 Feb 2025

Sources: Florida Department of State