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GOMEZ TELEHEALTH LLC

Company Details

Entity Name: GOMEZ TELEHEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 Aug 2024 (5 months ago)
Document Number: L24000364173
Address: 2420 S 58TH ST, TAMPA, FL 33619
Mail Address: 2420 S 58TH ST, TAMPA, FL 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932946241 2024-07-12 2024-07-12 2420 S 58TH ST, TAMPA, FL, 336195318, US 2420 S 58TH ST, TAMPA, FL, 336195318, US

Contacts

Phone +1 813-505-5700

Authorized person

Name GIOVANNA GOMEZ DIAZ
Role OWNER
Phone 8135055700

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
GOMEZ DIAZ, GIOVANNA Agent 2420 S 58TH ST, TAMPA, FL 33619

Manager

Name Role Address
GOMEZ DIAZ, GIOVANNA Manager 2420 S 58TH ST, TAMPA, FL 33619

Documents

Name Date
Florida Limited Liability 2024-08-19

Date of last update: 07 Jan 2025

Sources: Florida Department of State