| Entity Name: | MAGNOLIA SLEEP CENTER AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Sep 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Oct 2024 (3 months ago) |
| Document Number: | L23000428947 |
| FEI/EIN Number | 933401365 |
| Address: | 6244 MIRAMAR PKWY, MIRAMAR, FL, 33023, US |
| Mail Address: | 6244 MIRAMAR PKWY, MIRAMAR, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669247953 | 2023-11-16 | 2023-11-16 | 6244 MIRAMAR PKWY, MIRAMAR, FL, 330233942, US | 6244 MIRAMAR PKWY, MIRAMAR, FL, 330233942, US | |||||||||||||
|
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| Phone | +1 954-342-9737 |
Authorized person
| Name | DIMIA OTI |
| Role | OFFICE MANAGER |
| Phone | 3058495093 |
Taxonomy
| Taxonomy Code | 207QS1201X - Sleep Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OTI DIMIA | Agent | 6244 MIRAMAR PKWY, MIRAMAR, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| SAIZ RICARDO | Manager | 6244 MIRAMAR PKWY, MIRAMAR, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| CANAAN YAMIL A | Authorized Member | 6244 MIRAMAR PKWY, MIRAMAR, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-23 | No data | No data |
| LC AMENDMENT | 2024-09-30 | No data | No data |
| LC AMENDMENT | 2024-08-15 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-28 |
| LC Amendment | 2024-10-23 |
| LC Amendment | 2024-09-30 |
| LC Amendment | 2024-08-15 |
| ANNUAL REPORT | 2024-04-23 |
| Florida Limited Liability | 2023-09-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
