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DIVINE MEDICAL LLC

Company Details

Name: DIVINE MEDICAL LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Nov 2019 (6 years ago)
Entity Number: 5657941
ZIP code: 19805
County: Queens
Place of Formation: New York
Address: 1013 CENTRE ROAD, STE 403A, WILMINGTON, DE, United States, 19805

DOS Process Agent

Name Role Address
C/O AMERICAN INCORPORATORS LTD. DOS Process Agent 1013 CENTRE ROAD, STE 403A, WILMINGTON, DE, United States, 19805

National Provider Identifier

NPI Number:
1952920795
Certification Date:
2020-04-12

Authorized Person:

Name:
DR. AUGUSTINE UMEOZOR
Role:
CEO/MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210129000051 2021-01-29 CERTIFICATE OF PUBLICATION 2021-01-29
191204000039 2019-12-04 CERTIFICATE OF CHANGE 2019-12-04
191118010427 2019-11-18 ARTICLES OF ORGANIZATION 2019-11-18

Date of last update: 23 Mar 2025

Sources: New York Secretary of State