| Entity Name: | KIDZ MEDICAL PPEC SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2023 (a year ago) |
| Document Number: | L23000505308 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 125 NE 168 ST, NORTH MIAMI BEACH, FL, 33162, US |
| Mail Address: | 125 NE 168 ST, NORTH MIAMI BEACH, FL, 33162, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245006386 | 2023-11-29 | 2023-11-29 | 125 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623411, US | 125 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623411, US | |||||||||||||
|
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| Phone | +1 786-910-5406 |
Authorized person
| Name | GUDELIA SALAZAR |
| Role | AMBR |
| Phone | 7869105406 |
Taxonomy
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ FRANK | Agent | 125 NE 168 ST, NORTH MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| SALAZAR GUDELIA | Authorized Member | 125 NE 168 ST, NORTH MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| Lopez Nyah | Manager | 125 NE 168 ST, NORTH MIAMI BEACH, FL, 33162 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-11-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
