| Entity Name: | ADVANCED PRACTICE MEDICAL ASSOCIATES PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Aug 2006 (18 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L06000081147 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 704 WILLOW CREST ST., ORANGE CITY, FL, 32763, US |
| Mail Address: | 704 WILLOW CREST ST., ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194837955 | 2006-08-31 | 2018-06-21 | 1301 BLACK BEAR RANCH TR, PIERSON, FL, 321802682, US | 1301 BLACK BEAR RANCH TR, PIERSON, FL, 321802682, US | |||||||||||||||||
|
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| Phone | +1 386-749-0750 |
Authorized person
| Name | PRISCILLA CLARA MILLER |
| Role | ARNP |
| Phone | 3867490750 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1258442 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER JOHN | Agent | 704 WILLOW CREST ST., ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| MILLER PRISCILLA C | Managing Member | 704 WILLOW CREST ST., ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REINSTATEMENT | 2007-09-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2007-09-19 |
| Florida Limited Liability | 2006-08-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
