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DIABETICO INTERNACIONAL INC

Company Details

Entity Name: DIABETICO INTERNACIONAL INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 20 Oct 2009 (15 years ago)
Document Number: P09000086605
FEI/EIN Number 27-1166262
Address: 2520 University Blvd W, JACKSONVILLE, FL 32217
Mail Address: 2520 University Blvd W, JACKSONVILLE, FL 32217
ZIP code: 32217
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245554799 2010-03-25 2024-10-14 2520 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172004, US 2520 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172004, US

Contacts

Phone +1 904-914-8947
Fax 9048954729

Authorized person

Name LAVERN WEBSTER-DOWELL
Role PRESIDENT/CEO
Phone 9042537967

Taxonomy

Taxonomy Code 163WD0400X - Diabetes Educator Registered Nurse
License Number 3300612
State FL
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No

Agent

Name Role Address
GRINSTEIN, REYNALDO H Agent 2631 A JAMMES RD, JACKSONVILLE, FL 32210

Vice President

Name Role Address
DOWELL, MARIANNA ALDA, VP Vice President 12502 Woodfield Circle W., JACKSONVILLE, FL 32258

President

Name Role Address
DOWELL, KENT L President 12502 Woodfield Circle W., JACKSONVILLE, FL 32258

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000076976 DO WELL MEDICAL CENTER ACTIVE 2024-06-24 2029-12-31 No data 2520 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-11 2520 University Blvd W, JACKSONVILLE, FL 32217 No data
CHANGE OF MAILING ADDRESS 2024-09-11 2520 University Blvd W, JACKSONVILLE, FL 32217 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000377519 TERMINATED 1000000895213 DUVAL 2021-07-20 2031-07-28 $ 496.26 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-29
ANNUAL REPORT 2017-05-06
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-04-27

Date of last update: 25 Jan 2025

Sources: Florida Department of State