Entity Name: | DIABETES & WEIGHT LOSS CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 29 Jul 2022 (3 years ago) |
Document Number: | L22000336028 |
FEI/EIN Number | 883493835 |
Address: | 1410 W Broadway Street, Oviedo, FL, 32765, US |
Mail Address: | 1410 W Broadway Street, Oviedo, FL, 32765, US |
ZIP code: | 32765 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114654902 | 2022-08-02 | 2022-11-09 | 1410 W BROADWAY ST STE 203, OVIEDO, FL, 327656472, US | 1410 W BROADWAY ST STE 203, OVIEDO, FL, 327656472, US | |||||||||||||||||
|
Phone | +1 407-890-1876 |
Fax | 8884984294 |
Phone | +1 407-865-2716 |
Authorized person
Name | ADRIEL PEREZ |
Role | MGR |
Phone | 4078901876 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PEREZ ADRIEL | Agent | 718 MUSTANG COURT, WINTER SPRINGS, FL, 32708 |
Name | Role | Address |
---|---|---|
PEREZ ADRIEL | Manager | 718 MUSTANG COURT, WINTER SPRINGS, FL, 32708 |
Name | Role | Address |
---|---|---|
PEREZ RACHEL N | Vice President | 718 MUSTANG COURT, WINTER SPRINGS, FL, 32708 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-20 | 1410 W Broadway Street, Suite 203, Oviedo, FL 32765 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-20 | 1410 W Broadway Street, Suite 203, Oviedo, FL 32765 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-20 |
ANNUAL REPORT | 2023-02-17 |
Florida Limited Liability | 2022-07-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State