Entity Name: | COMPLETE PRACTITIONER CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 07 Mar 2016 (9 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | L16000050995 |
FEI/EIN Number | 81-2493617 |
Address: | 4027 CITROEN DR., SEBRING, FL, 33872, US |
Mail Address: | 4027 CITROEN DR., SEBRING, FL, 33872, US |
ZIP code: | 33872 |
County: | Highlands |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548618234 | 2016-06-02 | 2016-06-02 | 4027 CITROEN DR, SEBRING, FL, 338723027, US | 4027 CITROEN DR, SEBRING, FL, 338723027, US | |||||||||||||||||
|
Phone | +1 863-202-3580 |
Authorized person
Name | MICHAEL GEORGE CLEVELEY |
Role | NURSE PRACTITIONER - PROVIDER/MGR |
Phone | 8632023580 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CLEVELEY MICHAEL G | Agent | 4027 CITROEN DR., SEBRING, FL, 33872 |
Name | Role | Address |
---|---|---|
CLEVELEY MICHAEL G | Manager | 4027 CITROEN DR., SEBRING, FL, 33872 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-29 |
Florida Limited Liability | 2016-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State