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OPTIMOM LACTATION SERVICES, LLC

Company Details

Entity Name: OPTIMOM LACTATION SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Oct 2022 (2 years ago)
Document Number: L22000445417
FEI/EIN Number 92-1130635
Address: 7620 SW 5TH PL., GAINESVILLE, FL 32607
Mail Address: 7620 SW 5TH PL., GAINESVILLE, FL 32607
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942085410 2023-08-31 2023-08-31 7620 SW 5TH PL, GAINESVILLE, FL, 326071572, US 7620 SW 5TH PL, GAINESVILLE, FL, 326071572, US

Contacts

Phone +1 808-468-6455

Authorized person

Name JENNIFER MOORE
Role AUTHORIZED MEMBER
Phone 3525140281

Taxonomy

Taxonomy Code 163WL0100X - Lactation Consultant (Registered Nurse)
Is Primary Yes

Agent

Name Role Address
MOORE, JENNIFER Agent 7620 SW 5TH PL, GAINESVILLE, FL 32607

Authorized Member

Name Role Address
Moore, Jennifer Authorized Member 7620 SW 5TH PL., GAINESVILLE, FL 32607

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-04-29
Florida Limited Liability 2022-10-17

Date of last update: 11 Jan 2025

Sources: Florida Department of State