| Entity Name: | KATHY WILSON ARNP, FAMILY NURSE PRACTITIONER AND ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Sep 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L11000103174 |
| FEI/EIN Number | 611656533 |
| Address: | 322 RACETRACK ROAD NE, FORT WALTON BEACH, FL, 32547, US |
| Mail Address: | 149 SHORELINE DRIVE, MARY ESTHER, FL, 32569, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073883336 | 2012-01-04 | 2012-01-04 | 322 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472546, US | 322 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472546, US | |||||||||||||||||
|
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| Phone | +1 850-226-8588 |
Authorized person
| Name | DAVID BRUNETTE |
| Role | OFFICE MANAGER |
| Phone | 8502268588 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9162558 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON KATHY A | Agent | 322 RACETRACK ROAD NE, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| BRUNETTE DAVID C | Managing Member | 149 SHORELINE DRIVE, MARY ESTHER, FL, 32569 |
| WILSON KATHY A | Managing Member | 149 SHORELINE DRIVE, MARY ESTHER, FL, 32569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-18 |
| Florida Limited Liability | 2011-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
