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FIRST VISIT MEDICAL SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: FIRST VISIT MEDICAL SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Apr 2024 (a year ago)
Document Number: P24000030091
FEI/EIN Number 99-3072852
Address: 390 NE 191ST ST, STE 8349, MIAMI, FL, 33179, US
Mail Address: 390 NE 191ST ST, STE 8349, MIAMI, FL, 33179, US
ZIP code: 33179
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
CORP_74750117
State:
ILLINOIS

Key Officers & Management

Name Role Address
- Agent -
HOOD KYON President 390 NE 191ST ST, STE 8349, MIAMI, FL, 33179

National Provider Identifier

NPI Number:
1487482501
Certification Date:
2024-07-22

Authorized Person:

Name:
TODD PETERSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7543157082

Documents

Name Date
Domestic Profit 2024-04-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State