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DIVINE TELEHEALTH SERVICES LLC - Florida Company Profile

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Company Details

Entity Name: DIVINE TELEHEALTH SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Apr 2023 (2 years ago)
Document Number: L23000173473
FEI/EIN Number APPLIED FOR
Address: 6982 LAKESIDE RD., WEST PALM BEACH, FL, 33411
Mail Address: 6982 LAKESIDE RD., WEST PALM BEACH, FL, 33411
ZIP code: 33411
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MITCHELL LAVERNE Agent 6982 LAKESIDE RD., WEST PALM BEACH, FL, 33411
MITCHELL LAVERNE Manager 6982 LAKESIDE RD., WEST PALM BEACH, FL, 33411

National Provider Identifier

NPI Number:
1750065025
Certification Date:
2023-06-14

Authorized Person:

Name:
LAVERNE MITCHELL
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-04-07

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Date of last update: 02 Jul 2025

Sources: Florida Department of State