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KAREN PLYMPTON ARNP-C, LLC

Company Details

Entity Name: KAREN PLYMPTON ARNP-C, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Mar 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 22 Oct 2016 (8 years ago)
Document Number: L15000050038
FEI/EIN Number 47-3465880
Address: 26 SECRETARY TRAIL, PALM COAST, FL, 32164
Mail Address: 26 SECRETARY TRAIL, PALM COAST, FL, 32164
ZIP code: 32164
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922492560 2015-03-21 2015-05-22 26 SECRETARY TRL, PALM COAST, FL, 321644416, US 26 SECRETARY TRL, PALM COAST, FL, 321644416, US

Contacts

Phone +1 757-477-3351
Fax 3863131737

Authorized person

Name MISS KAREN MARIE PLYMPTON
Role ARNP-C
Phone 7574773351

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number 9231576
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE PTAN
Number Y096KA
State FL

Agent

Name Role Address
PLYMPTON KAREN M Agent 26 SECRETARY TRAIL, PALM COAST, FL, 32164

Authorized Member

Name Role Address
PLYMPTON KAREN M Authorized Member 26 SECRETARY TRAIL, PALM COAST, FL, 32164

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-22 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-22 PLYMPTON, KAREN M No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
AMENDED ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-02-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State