| Entity Name: | SLR-ARNP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jul 2007 (18 years ago) |
| Date of dissolution: | 22 Feb 2010 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Feb 2010 (15 years ago) |
| Document Number: | L07000071720 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 5460 BLUE HERON LANE, WESLEY CHAPEL, FL, 33543, US |
| Mail Address: | 5460 BLUE HERON LANE, WESLEY CHAPEL, FL, 33543, US |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609035773 | 2008-06-04 | 2008-06-16 | 3402 MAGIC OAK LN, SARASOTA, FL, 342321812, US | 3402 MAGIC OAK LN, SARASOTA, FL, 342321812, US | |||||||||||||||||||||||||
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| Phone | +1 941-379-9110 |
| Fax | 9413439110 |
Authorized person
| Name | SUSAN ROUX |
| Role | FAMILY PSYCHIATRIC NURSE PRACTITION |
| Phone | 9413799110 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9223141 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3090337 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROUX SUSAN L | Agent | 5460 BLUE HERON LANE, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| ROUX SUSAN L | Managing Member | 5460 BLUE HERON LANE, WESLEY CHAPEL, FL, 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2010-02-22 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2010-02-22 |
| ANNUAL REPORT | 2009-03-20 |
| ANNUAL REPORT | 2008-03-17 |
| Florida Limited Liability | 2007-07-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
