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ARMELLE G. CLEOPHAT , PHD, ARNP-BC, PLLC

Company Details

Entity Name: ARMELLE G. CLEOPHAT , PHD, ARNP-BC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Oct 2014 (10 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 Mar 2021 (4 years ago)
Document Number: L14000154030
FEI/EIN Number 47-1989736
Address: 21840 SW 1ST ST, DUNNELLON, FL, 34431, US
Mail Address: 21840 SW 1ST ST, DUNNELLON, FL, 34431, US
ZIP code: 34431
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073985537 2015-10-23 2024-10-14 21840 SW 1ST ST, DUNNELLON, FL, 344311641, US 21840 SW 1ST ST, DUNNELLON, FL, 344311641, US

Contacts

Phone +1 352-286-6553
Fax 3525590587

Authorized person

Name ARMELLE GUITEAU OSIAS
Role OWNER
Phone 3522866553

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ARNP9215818
State FL
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number ARNP9215818
State FL
Is Primary Yes

Agent

Name Role Address
OSIAS ARMELLE G Agent 21840 SW 1ST ST, DUNNELLON, FL, 34431

Manager

Name Role Address
Osias ARMELLE GDr. Manager 21840 SW 1ST ST, DUNNELLON, FL, 34431

Authorized Member

Name Role Address
OSIAS ERNST N Authorized Member 21840 SW 1ST ST, DUNNELLON, FL, 34431
CLEOPHAT JULIANAH G Authorized Member 21840 SW 1ST ST, DUNNELLON, FL, 34431

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000020291 FIJELA HEALTH ASSOCIATES ACTIVE 2020-02-14 2025-12-31 No data 21840 SW 1ST STREET STREET, DUNNELLON, FL, 34431

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-03-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-22 21840 SW 1ST ST, DUNNELLON, FL 34431 No data
CHANGE OF MAILING ADDRESS 2021-03-22 21840 SW 1ST ST, DUNNELLON, FL 34431 No data
REGISTERED AGENT NAME CHANGED 2021-03-22 OSIAS, ARMELLE G No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-22 21840 SW 1ST ST, DUNNELLON, FL 34431 No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-27
LC Amendment 2021-03-22
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-03-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State