| Entity Name: | ANGELA WHITE ARNP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2010 (15 years ago) |
| Document Number: | L10000000762 |
| FEI/EIN Number | 271585268 |
| Address: | 5000-18 HWY 17 #44, FLEMING ISLAND, FL, 32003 |
| Mail Address: | ANGELA WHITE, 5000-18 HWY 17 #44, FLEMING ISLAND, FL, 32003 |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457878654 | 2017-08-28 | 2020-10-22 | 5000-18 HWY 17, #44, FLEMING ISLAND, FL, 32003, US | 514 LOS PALMAS DR, FLEMING ISLAND, FL, 32003, US | |||||||||||||||||||
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| Phone | +1 904-544-3608 |
| Fax | 9042635381 |
Authorized person
| Name | ANGELA D WHITE |
| Role | PRESIDENT |
| Phone | 9045443608 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | 3298772 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| White Steven | Agent | 514 Los Palmas Dr, Fleming Island, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| WHITE ANGELA | Managing Member | 5000-18 HWY 17 #44, FLEMING ISLAND, FL, 32003 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000094492 | BENU INTEGRATIVE PSYCHIATRY | ACTIVE | 2023-08-14 | 2028-12-31 | No data | 5000-18 HWY 17 #44, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-19 | 514 Los Palmas Dr, Fleming Island, FL 32003 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-08 | White, Steven | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
