Entity Name: | WOUND SOLUTIONS HS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 06 Sep 2024 (5 months ago) |
Document Number: | L24000391289 |
Address: | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
Mail Address: | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
ZIP code: | 33178 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1508688151 | 2024-10-25 | 2024-10-25 | 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US | 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US | |||||||||||||||||||||
|
Phone | +1 305-284-7484 |
Authorized person
Name | JOSE PELAYO |
Role | CEO |
Phone | 3052847484 |
Taxonomy
Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
Is Primary | Yes |
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
DOMINGUEZ, JENNIFER H | Agent | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
Name | Role | Address |
---|---|---|
PELAYO, JOSE | Manager | 3750 NW 87 AVENUE, SUITE 500, DORAL, FL 33178 |
Name | Date |
---|---|
Florida Limited Liability | 2024-09-06 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State