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MD BILLING BOUTIQUE, INC.

Company Details

Entity Name: MD BILLING BOUTIQUE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Dec 2022 (2 years ago)
Document Number: P22000093509
FEI/EIN Number APPLIED FOR
Address: 18501 PINES BLVD, SUITE 207B, PEMBROKE PINES, FL, 33029, US
Mail Address: 18501 PINES BLVD, SUITE 207B, PEMBROKE PINES, FL, 33029, US
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831897149 2023-02-16 2023-02-16 18501 PINES BLVD STE 207B, PEMBROKE PINES, FL, 330291420, US 18501 PINES BLVD STE 207B, PEMBROKE PINES, FL, 330291420, US

Contacts

Phone +1 754-201-1202
Fax 7865240880

Authorized person

Name MS. KRISTINA CADAVIECO
Role PRESIDENT
Phone 7542449889

Taxonomy

Taxonomy Code 171W00000X - Contractor
Is Primary Yes

Agent

Name Role Address
KRISTINA CADAVIECO Agent 18501 PINES BLVD, SUITE 207B, PEMBROKE PINES, FL, 33029

President

Name Role Address
KRISTINA CADAVIECO President 18501 PINES BLVD, SUITE 207B, PEMBROKE PINES, FL, 33029

Documents

Name Date
ANNUAL REPORT 2024-05-01
Domestic Profit 2022-12-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State