| Entity Name: | AVIEZRI HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2023 (a year ago) |
| Document Number: | L23000533675 |
| Address: | 6137 MARSH TRAIL DRIVE, ODDESSA, FL, 33556 |
| Mail Address: | 6137 MARSH TRAIL DRIVE, ODDESSA, FL, 33556 |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447026497 | 2023-11-30 | 2023-11-30 | 6137 MARSH TRAIL DR, ODESSA, FL, 335564438, US | 6137 MARSH TRAIL DR, ODESSA, FL, 335564438, US | |||||||||||||
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| Phone | +1 813-416-3561 |
Authorized person
| Name | GBEMISOLA OLATUNJI |
| Role | OWNER |
| Phone | 8134163561 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLATUNJI GBEMISOLA | Agent | 6137 MARSH TRAIL DRIVE, ODDESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| OLATUNJI GBEMISOLA | Manager | 6137 MARSH TRAIL DRIVE, ODDESSA, FL, 33556 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-11-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
