| Entity Name: | HYGEA ESSENTIALS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Sep 2009 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Oct 2009 (15 years ago) |
| Document Number: | L09000086783 |
| FEI/EIN Number | 215731621 |
| Address: | 12862 Julip Ct, FT. MYERS, FL, 33966, US |
| Mail Address: | 12862 Julip Ct, FT. MYERS, FL, 33966, US |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124351564 | 2009-09-17 | 2013-08-30 | 7890 SUMMERLIN LAKES DR, #3, FORT MYERS, FL, 339071851, US | 7890 SUMMERLIN LAKES DR, #3, FORT MYERS, FL, 339071851, US | |||||||||||||||||||||||||
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| Phone | +1 239-939-1999 |
| Fax | 2399394935 |
Authorized person
| Name | MS. CARYLE LYNE CLYATT |
| Role | OWNER |
| Phone | 2399391999 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP3285992 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001329200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLYATT PESCITELLI CARYLE L | Agent | 12862 Julip Ct, FT. MYERS, FL, 33966 |
| Name | Role | Address |
|---|---|---|
| CLYATT Pescitelli CARYLE L | RA | 12862 Julip Ct, FT. MYERS, FL, 33966 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000013446 | HYGEA ESSENTIAL, PLLC | ACTIVE | 2022-01-27 | 2027-12-31 | No data | 7890 SUMMERLIN LAKES DR. #3, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-13 | 12862 Julip Ct, FT. MYERS, FL 33966 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 12862 Julip Ct, FT. MYERS, FL 33966 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-17 | 12862 Julip Ct, FT. MYERS, FL 33966 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-03 | CLYATT PESCITELLI, CARYLE L | No data |
| LC AMENDMENT | 2009-10-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-06-28 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
