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GIA BOCA RATON LLC

Company Details

Entity Name: GIA BOCA RATON LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jun 2023 (2 years ago)
Document Number: L23000291820
FEI/EIN Number 93-2448253
Address: 4400 N FEDERAL HIGHWAY, SUITE 210-18, BOCA RATON, FL, 33431, US
Mail Address: 1501 BISCAYNE BLVD, STE 200, MIAMI, FL, 33132, US
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740961648 2023-07-25 2023-07-25 1501 BISCAYNE BLVD # 2200, MIAMI, FL, 331321449, US 4400 NORTH FEDERAL HIGHWAY, STE 210-18, 210-19, BOCA RATON, FL, 33431, US

Contacts

Phone +1 786-652-2462

Authorized person

Name MISS KYLIE STOOPS
Role OFFICE MANAGER
Phone 7866522462

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role
B2B REGISTERED AGENT, LLC Agent

Chief Executive Officer

Name Role Address
DEL GOVERNATORE FRANCESCO Chief Executive Officer 3701 ROYAL PALM AVE, MIAMI BEACH, FL, 33140
SHAPIRO TERRY BRIAN Chief Executive Officer 7319 TILLMAN DRIVE, LAKE WORTH, FL, 33467

President

Name Role Address
BONCI ANTONELLO President 3470 E COAST AVE, APT 2710, MIAMI, FL, 33137

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-10-10 201 ALHAMBRA CIRCLE, SUITE 1060, CORAL GABLES, FL 33134 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-10
ANNUAL REPORT 2024-02-07
Florida Limited Liability 2023-06-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State