| Entity Name: | INSTITUTE OF PHYSIOLOGIC INSULIN RESENSITIZATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INSTITUTE OF PHYSIOLOGIC INSULIN RESENSITIZATION LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Aug 2024 (7 months ago) |
| Document Number: | L24000379298 |
| Address: | 3800 WEST BROWARD BLVD SUIT, 101 RM IV, FORT LAUDERDALE, FL, 33312, US |
| Mail Address: | 3800 WEST BROWARD BLVD SUIT 101 RM IV, 101 RM IV, FORT LAUDERDALE, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639905292 | 2024-09-10 | 2024-10-01 | 3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL, 333121018, US | 3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL, 333121018, US | |||||||||||||
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| Phone | +1 954-440-0983 |
Authorized person
| Name | HENRY ODAZIE |
| Role | CREDENTIALING MANAGER |
| Phone | 9544962599 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLEMAN-ODAZIE XAVIER | Authorized Person | 301 SW 1ST AVE SUITE 101, FORT LAUDERDALE, FL, 33301 |
| COLEMAN-ODAZIE XAVIER | Agent | 301 SW 1ST AVE, FORT LAUDERDALE, FL, 33301 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-29 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
