| Entity Name: | DYNASTY HEALTH GROUP CENTER L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Apr 2024 (10 months ago) |
| Document Number: | L24000198430 |
| Address: | 102 REDWING CT, POINCIANA, KISSIMMEE, FL 34759 |
| Mail Address: | 102 REDWING CT, POINCIANA, KISSIMMEE, FL 34759 |
| ZIP code: | 34759 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902655657 | 2024-05-15 | 2024-05-15 | 102 REDWING CT, KISSIMMEE, FL, 347595110, US | 102 REDWING CT, KISSIMMEE, FL, 347595110, US | |||||||||||||
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| Phone | +1 786-712-5523 |
Authorized person
| Name | WOODSON DONACIEN |
| Role | CEO |
| Phone | 7867125523 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DONACIEN, WOODSON, SR | Agent | 102 REDWING CT, POINCIANA, KISSIMMEE, FL 34759 |
| Name | Role | Address |
|---|---|---|
| DONACIEN, WOODSON, SR | Manager | 102 REDWING CT, POINCIANA, KISSEMMEE, FL 34759 |
| Name | Role | Address |
|---|---|---|
| PIERRE PAUL DONACIEN, BERTHIDE, SR | Authorized Manager | 102 REDWING CT, POINCIANA, KISSIMMEE, FL 34759 |
| DONACIEN CIVIL, DAPHNEE | Authorized Manager | 102 REDWING CT, POINCIANA, KISSIMMEE, FL 34759 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-29 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
