| Entity Name: | XCELLENCE HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2024 (a year ago) |
| Document Number: | L24000049043 |
| Address: | 8060 NW 155 STREET, STE 100, MIAMI LAKES, FL 33016 |
| Mail Address: | 8060 NW 155 STREET, STE 100, MIAMI LAKES, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013737600 | 2024-10-16 | 2024-10-16 | 8060 NW 155TH ST STE 100, MIAMI LAKES, FL, 330165883, US | 8060 NW 155TH ST STE 100, MIAMI LAKES, FL, 330165883, US | |||||||||||||
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| Phone | +1 786-509-2012 |
Authorized person
| Name | YITSY SERRANO |
| Role | OWNER |
| Phone | 7865092012 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VASALLO, SANNY | Agent | 8060 NW 155 STREET, STE 100, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| VASALLO, SANNY | Managing Member | 8060 NW 155 STREET STE 100, MIAMI LAKES, FL 33016 |
| SERRANO, YITSY | Managing Member | 8060 NW 155 STREET STE 100, MIAMI LAKES, FL 33016 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-26 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
