| Entity Name: | PEDIATRIC NURSE CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Nov 2015 (9 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000187394 |
| Address: | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 32812, US |
| Mail Address: | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 32812, US |
| ZIP code: | 32812 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1821448531 | 2016-06-14 | 2016-06-14 | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 328121038, US | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 328121038, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-592-6298 |
| Fax | 4072860724 |
Authorized person
| Name | MRS. JACQUELINE M TRUMBLE |
| Role | REGISTERED NURSE |
| Phone | 4075926298 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | RN2662202 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TRUMBLE JACQUELINE M | Agent | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 32812 |
| Name | Role | Address |
|---|---|---|
| TRUMBLE JACQUELINE M | Manager | 2913 CULLEN LAKE SHORE DRIVE, ORLANDO, FL, 32812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-11-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
