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DIVERSE DME, LLC

Company Details

Entity Name: DIVERSE DME, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Mar 2024 (10 months ago)
Document Number: L24000150535
Address: 8040 NW 95TH STREET, STE 227, HIALEAH GARDENS, FL, 33016
Mail Address: 8040 NW 95TH STREET, STE 227, HIALEAH GARDENS, FL, 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063265890 2024-04-10 2024-04-10 8040 NW 95TH ST STE 227, HIALEAH GARDENS, FL, 330162361, US 8040 NW 95TH ST STE 227, HIALEAH GARDENS, FL, 330162361, US

Contacts

Phone +1 786-797-0300

Authorized person

Name LEYSI MERCEDES CASANOVA
Role PRESIDENT
Phone 7867970300

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
CASANOVA LEYSI M Agent 8040 NW 95TH STREET, HIALEAH GARDENS, FL, 33016

Authorized Member

Name Role Address
CASANOVA LEYSI M Authorized Member 8040 NW 95TH STREET, STE 227, FL, 33016

Documents

Name Date
Florida Limited Liability 2024-03-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State