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JENNIFER ROSELLO REYES, D.P.M., P.A.

Company Details

Entity Name: JENNIFER ROSELLO REYES, D.P.M., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Feb 2013 (12 years ago)
Document Number: P13000010929
FEI/EIN Number 46-1966968
Address: 1911 SW 84 COURT, MIAMI, FL, 33155
Mail Address: 1911 SW 84 COURT, MIAMI, FL, 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336488444 2013-02-08 2014-08-28 8485 SW 40 STREET, MIAMI, FL, 331551000, US 8485 SW 40TH ST STE 102, MIAMI, FL, 331553262, US

Contacts

Phone +1 305-551-3412
Phone +1 305-609-3277

Authorized person

Name DR. JENNIFER ROSELLO REYES
Role PRESIDENT
Phone 3055513412

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3591
State FL
Is Primary Yes

Agent

Name Role Address
REYES JENNIFER Agent 1911 SW 84 COURT, MIAMI, FL, 33155

Director

Name Role Address
REYES JENNIFER R Director 1911 SW 84 COURT, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-05-07 REYES, JENNIFER No data
REGISTERED AGENT ADDRESS CHANGED 2018-05-07 1911 SW 84 COURT, MIAMI, FL 33155 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-01-28
Reg. Agent Change 2018-05-07
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-02-11

Date of last update: 03 Feb 2025

Sources: Florida Department of State