| Entity Name: | E. FESMIRE, CRNFA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2014 (11 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 04 Jan 2018 (7 years ago) |
| Document Number: | L14000088754 |
| FEI/EIN Number | 37-1759844 |
| Address: | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 32615, US |
| Mail Address: | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 32615, US |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528473592 | 2014-06-27 | 2018-01-10 | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 326156660, US | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 326156660, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-462-7346 |
| Fax | 3864627381 |
Authorized person
| Name | ELLEN ELIZABETH FESMIRE |
| Role | CRNFA |
| Phone | 3864627346 |
Taxonomy
| Taxonomy Code | 163WR0006X - Registered Nurse First Assistant |
| License Number | RN897992 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FESMIRE ELLEN E | Agent | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| FESMIRE ELLEN E | Authorized Member | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| QUINTANA RACHEL | ARNP | 10110 NW COUNTY ROAD 235, ALACHUA, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2018-01-04 | E. FESMIRE, CRNFA, LLC | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-01-17 | WOODHAVEN SURGICAL ASSOCIATES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-19 |
| LC Name Change | 2018-01-04 |
| ANNUAL REPORT | 2017-02-10 |
| LC Amendment and Name Change | 2017-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
