| Entity Name: | WOUNDCARE SPECIALISTS OF SOUTH FLORIDA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Dec 2023 (a year ago) |
| Document Number: | P23000084747 |
| FEI/EIN Number | 934860570 |
| Address: | 739 E 10TH ST, HIALEAH, FL, 33010, US |
| Mail Address: | 739 E 10TH ST, HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912735572 | 2024-07-24 | 2024-08-07 | 739 E 10TH ST, HIALEAH, FL, 330103635, US | 739 E 10TH ST, HIALEAH, FL, 330103635, US | |||||||||||||||||||
|
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| Phone | +1 305-363-4598 |
| Fax | 3057047012 |
Authorized person
| Name | ERNESTO LEONEL DIAZ |
| Role | OWNER |
| Phone | 7863519892 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DIAZ ERNESTO L | Agent | 739 E 10TH ST, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| DIAZ ERNESTO | President | 739 EAST 10TH ST, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 739 E 10TH ST, HIALEAH, FL 33010 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| Domestic Profit | 2023-12-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
