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DISTINGUISHED HEALTH SERVICES OF MIAMI LLC

Company Details

Entity Name: DISTINGUISHED HEALTH SERVICES OF MIAMI LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Apr 2024 (9 months ago)
Document Number: L24000200111
FEI/EIN Number 99-2781252
Address: 7900 OAK LANE, 400, MIAMI LAKES, FL 33016
Mail Address: 7900 OAK LANE, 400, MIAMI LAKES, 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
1154178762 2024-05-01 2024-05-01 7900 OAK LN STE 400, MIAMI LAKES, FL, 330166001, US 7900 OAK LN STE 400, MIAMI LAKES, FL, 330166001, US

Contacts

Phone +1 786-343-8666

Authorized person

Name RUTH FORTUNA
Role OWNER
Phone 7863438666

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
FORTUNA, RUTH Agent 13189 NORTHWEST 18TH COURT, PEMBROKE PINES, FL 33028

Chief Executive Officer

Name Role Address
FORTUNA, RUTH Chief Executive Officer 13189 NORTHWEST 18TH COURT, PEMBROKE PINES, FL 33028 UN

Documents

Name Date
Florida Limited Liability 2024-04-29

Date of last update: 08 Feb 2025

Sources: Florida Department of State