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TALLAHASSEE MOBILE WOUND CARE LLC

Company Details

Entity Name: TALLAHASSEE MOBILE WOUND CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Sep 2024 (5 months ago)
Document Number: L24000397110
Address: 8696 ICE WINE ST, SARASOTA, FL 34238
Mail Address: 8696 ICE WINE ST, SARASOTA, FL 34238
ZIP code: 34238
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396563037 2024-10-01 2024-10-08 8696 ICE WINE ST, SARASOTA, FL, 342382403, US 8696 ICE WINE ST, SARASOTA, FL, 342382403, US

Contacts

Phone +1 850-345-8383

Authorized person

Name NATALIA CAPOTE
Role MGR
Phone 8503458383

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
CAPOTE, NATALIA Agent 8696 ICE WINE ST, SARASOTA, FL 34238

Manager

Name Role Address
CAPOTE, NATALIA Manager 8696 ICE WINE ST, SARASOTA, FL 34238

Documents

Name Date
Florida Limited Liability 2024-09-11

Date of last update: 07 Feb 2025

Sources: Florida Department of State