| Entity Name: | HER GYN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Feb 2024 (a year ago) |
| Document Number: | L24000080552 |
| Mail Address: | 601 S Semoran Blvd ste A, ORLANDO, FL 32807 |
| Address: | 681 DOUGLAS AVE, STE 109, ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710747738 | 2024-03-19 | 2024-05-15 | 681 DOUGLAS AVE STE 109, ALTAMONTE SPRINGS, FL, 327142583, US | 681 DOUGLAS AVE STE 109, ALTAMONTE SPRINGS, FL, 327142583, US | |||||||||||||
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| Phone | +1 321-462-5050 |
Authorized person
| Name | JESUS GUTIERREZ |
| Role | DIRECTOR |
| Phone | 7875059989 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTIZ LEDEE, DEBRA M | Agent | 5804 LAKE UNDERHILL RD STE A, ORLANDO, FL 32807 |
| Name | Role | Address |
|---|---|---|
| ORTIZ LEDEE, DEBRA M | Authorized Member | 5804 LAKE UNDERHILL RD STE A, ORLANDO, FL 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-17 | 681 DOUGLAS AVE, STE 109, ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 681 DOUGLAS AVE, STE 109, ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-14 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
