Entity Name: | DIVINE LAB AND FINGERPRINTING , LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 07 Jun 2024 (8 months ago) |
Document Number: | L24000260736 |
Address: | 6067 HOLLYWOOD BLVD, #325, HOLLYWOOD, FL 33024 |
Mail Address: | 6067 HOLLYWOOD BLVD, #325, HOLLYWOOD, FL 33024 |
ZIP code: | 33024 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326872326 | 2024-08-30 | 2024-08-30 | 6067 HOLLYWOOD BLVD STE 325, PEMBROKE PINES, FL, 330247891, US | 6067 HOLLYWOOD BLVD STE 325, PEMBROKE PINES, FL, 330247891, US | |||||||||||||||
|
Phone | +1 954-998-0880 |
Fax | 9544166818 |
Authorized person
Name | FELECIA KERRY-ANN WOOLCOCK |
Role | DIECTOR |
Phone | 9549980880 |
Taxonomy
Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WOOLCOCK, FELECIA, TITLE | Agent | 6950 SW 12TH STREET , PEMBROKE PINES FL 33, HOLLYWOOD, FL 33024 |
Name | Role | Address |
---|---|---|
WOOLCOCK, FELECIA, TITLE | Manager | 6950 SW 12TH STREET , PEMBROKE PINES FL 33, HOLLYWOOD, FL 33024 |
WOOLCOCK, DESRICK, TITLE | Manager | 6950 SW 12TH STREET, PEMBROKE PINES, FL 33023 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State