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DELAND PRIMARY CARE AND AESTHETICS, LLC - Florida Company Profile

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Company Details

Entity Name: DELAND PRIMARY CARE AND AESTHETICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Sep 2023 (2 years ago)
Document Number: L23000438053
FEI/EIN Number 93-3506268
Address: 131 E NEW YORK AVE, FLOOR 3 SUITE A, DELAND, FL, 32724
Mail Address: 945 GLENWOOD RD, DELAND, FL, 32724
ZIP code: 32724
City: Deland
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
YELLE SHARON D Authorized Representative 945 GLENWOOD RD, DELAND, FL, 32720
YELLE SHARON D Agent 945 GLENWOOD RD, DELAND, FL, 32720

National Provider Identifier

NPI Number:
1457127615
Certification Date:
2023-11-29

Authorized Person:

Name:
SHARON YELLE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-29
AMENDED ANNUAL REPORT 2024-05-07
ANNUAL REPORT 2024-01-31
Florida Limited Liability 2023-09-20

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Date of last update: 01 Aug 2025

Sources: Florida Department of State