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REBECCA REYNOLDS ARNP, LLC.

Company Details

Entity Name: REBECCA REYNOLDS ARNP, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 04 Oct 2012 (12 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: L12000126837
Address: 9035 PARK BLVD, SEMINOLE, FL, 33777
Mail Address: 9035 PARK BLVD, SEMINOLE, FL, 33777, UN
ZIP code: 33777
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023361441 2012-10-23 2013-01-29 9035 PARK BLVD, SEMINOLE, FL, 337774130, US 9035 PARK BLVD, SEMINOLE, FL, 337774130, US

Contacts

Phone +1 727-244-5086
Fax 8774222920

Authorized person

Name REBECCA REYNOLDS
Role OWNER
Phone 7272445086

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number ARNP2736202
State FL
Is Primary Yes

Agent

Name Role Address
REYNOLDS REBECCA Agent 9035 PARK BLVD, SEMINOLE, FL, 33777

Manager

Name Role Address
REYNOLDS REBECCA Manager 9035 PARK BLVD, SEMINOLE, FL, 33777

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2012-10-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State