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TRU-HORMONES, LLC

Company Details

Entity Name: TRU-HORMONES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 May 2022 (3 years ago)
Document Number: L22000245134
FEI/EIN Number 88-2692631
Address: 13820 OLD ST AUGUSTINE RD, STE 101, JACKSONVILLE, FL, 32258, US
Mail Address: 13820 OLD ST AUGUSTINE RD, STE 101, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083349047 2022-07-22 2022-07-22 13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL, 322585424, US 13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL, 322585424, US

Contacts

Phone +1 904-329-3868

Authorized person

Name MICHELLE TULLA
Role MD
Phone 9043293868

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
TULLA MICHELLE E Agent 105 TELFORD DR, ST JOHNS, FL, 32259

Auth

Name Role Address
Rivera Jorge Auth 13820 Old St Augustine Rd, Jacksonville, FL, 32258

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-22
Florida Limited Liability 2022-05-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State