| Entity Name: | DIANA R. TWIGGS, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Sep 2023 (a year ago) |
| Document Number: | L23000445566 |
| FEI/EIN Number | 93-3593355 |
| Address: | 304 N 5TH STREET, FERNANDINA BEACH, FL 32034 |
| Mail Address: | 304 N 5TH STREET, FERNANDINA BEACH, FL 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508054388 | 2007-10-05 | 2009-02-25 | 1888 S 14TH ST, FERNANDINA BEACH, FL, 320343054, US | 1888 S 14TH ST, FERNANDINA BEACH, FL, 320343054, US | |||||||||||||||||
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| Phone | +1 904-261-0922 |
Authorized person
| Name | DIANA R TWIGGS |
| Role | PRESIDENT |
| Phone | 9042610922 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME78633 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TWIGGS, DIANA R | Agent | 304 N 5TH STREET, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| TWIGGS, DIANA R | Authorized Member | 304 N 5TH STREET, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| TWIGGS, CHRISTOPHER | Authorized Person | 304 N 5TH STREET, FERNANDINA BEACH, FL 32034 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| Florida Limited Liability | 2023-09-26 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
