Search icon

DIVINE LAB AND FINGERPRINTING , LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WOOLCOCK, FELECIA, TITLE Agent 6950 SW 12TH STREET , PEMBROKE PINES FL 33, HOLLYWOOD, FL 33024

Manager

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

Documents

Name Date
Florida Limited Liability 2024-06-07

Date of last update: 08 Feb 2025

Sources: Florida Department of State