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AVIVA HEALTH & WELLNESS LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
VALIENTE QUINTIN Agent 801 NW 37 AVE, MIAMI, FL, 33125

Authorized Member

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

Fictitious Names

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

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-11-26 No data No data

Documents

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