| Entity Name: | PIRIS SPECIALTY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Sep 2024 (5 months ago) |
| Document Number: | L24000396433 |
| Address: | 16050 S TAMIAMI TRAIL, STE 109, FORT MYERS, FL, 33908 |
| Mail Address: | 16050 S TAMIAMI TRAIL, STE 109, FORT MYERS, FL, 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275351868 | 2024-10-01 | 2024-10-01 | 16050 S TAMIAMI TRL STE 109, FORT MYERS, FL, 339084243, US | 16050 S TAMIAMI TRL STE 109, FORT MYERS, FL, 339084243, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-412-9802 |
| Fax | 7867326259 |
Authorized person
| Name | ERNESTO PIRIS |
| Role | OWNER |
| Phone | 3057200948 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0201X - Pediatric Allergy/Immunology Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PIRIS ERNESTO | Agent | 16050 S TAMIAMI TRAIL, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| PIRIS ERNESTO | Manager | 16050 S TAMIAMI TRAIL, STE 109, FORT MYERS, FL, 33908 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
