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HEALTH KTP LLC

Company Details

Entity Name: HEALTH KTP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Mar 2024 (a year ago)
Document Number: L24000131579
Address: 14719 SW 9TH TERR, MIAMI, FL 33194
Mail Address: 14719 SW 9TH TERR, MIAMI, FL 33194
ZIP code: 33194
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942023676 2024-11-01 2024-11-01 12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL, 331812021, US 12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL, 331812021, US

Contacts

Phone +1 786-245-3035

Authorized person

Name KIRA TEJADA
Role NURSE PRACTITIONER
Phone 7862453035

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary No

Agent

Name Role Address
BAEZ, WILMARK Agent 13497 NW 47TH AVE, OPA LOCKA, FL 33054

Manager

Name Role Address
TEJADA PEREZ, KIRA Manager 14719 SW 9TH TERR, MIAMI, FL 33194

Documents

Name Date
Florida Limited Liability 2024-03-18

Date of last update: 08 Feb 2025

Sources: Florida Department of State