Entity Name: | AVIVA HEALTH & WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 28 Mar 2023 (2 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 26 Nov 2024 (2 months ago) |
Document Number: | L23000141450 |
FEI/EIN Number | APPLIED FOR |
Address: | 801 NW 37 AVE STE-216, MIAMI, FL, 33125 |
Mail Address: | 801 NW 37 AVE STE-216, MIAMI, FL, 33125 |
ZIP code: | 33125 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861271421 | 2023-09-25 | 2024-05-13 | 801 NW 37TH AVE STE 216, MIAMI, FL, 331253883, US | 801 NW 37TH AVE STE 216, MIAMI, FL, 331253883, US | |||||||||||||||||||
|
Phone | +1 305-915-0437 |
Fax | 7867435312 |
Authorized person
Name | DR. JULIET VENTO |
Role | MEDICAL DIRECTOR |
Phone | 3059150437 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QR1100X - Research Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
VALIENTE QUINTIN | Agent | 801 NW 37 AVE, MIAMI, FL, 33125 |
Name | Role | Address |
---|---|---|
QUINTIN VALIENTE | Authorized Member | 801 NW 37 AVE STE-216, MIAMI, FL, 33125 |
PEREZ ALINA CHOY | Authorized Member | 801 NW 37 AVE STE-216, MIAMI, FL, 33125 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000112539 | AVIVA HEALTH SCIENCES | ACTIVE | 2023-09-13 | 2028-12-31 | No data | 801 NW 37TH AVE, STE 216, MIAMI, FL, 33125 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2024-11-26 | No data | No data |
Name | Date |
---|---|
LC Amendment | 2024-11-26 |
ANNUAL REPORT | 2024-04-19 |
Florida Limited Liability | 2023-03-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State