| Entity Name: | THE NURSE PRACTITIONER GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Aug 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Feb 2022 (3 years ago) |
| Document Number: | L16000148682 |
| FEI/EIN Number | 81-3478068 |
| Address: | 10472 Taft Street, Pembroke Pines, FL 33026 |
| Mail Address: | 10472 Taft Street, Pembroke Pines, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, MISSISSIPPI | 1300145 | MISSISSIPPI |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, RHODE ISLAND | 001707361 | RHODE ISLAND |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, ALABAMA | 000-627-939 | ALABAMA |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, NEW YORK | 5809942 | NEW YORK |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, COLORADO | 20191622024 | COLORADO |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, CONNECTICUT | 1341607 | CONNECTICUT |
| Headquarter of | THE NURSE PRACTITIONER GROUP LLC, ILLINOIS | LLC_08773475 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780121277 | 2017-01-23 | 2020-07-21 | 12380 NW 9TH ST, PLANTATION, FL, 333251305, US | 12380 NW 9TH ST, PLANTATION, FL, 333251305, US | |||||||||||||||||||||||||
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| Phone | +1 256-508-9034 |
Authorized person
| Name | STACEY SANTIAGO |
| Role | OWNER |
| Phone | 2565089034 |
Taxonomy
| Taxonomy Code | 171W00000X - Contractor |
| License Number | ARNP9224482 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LX0106X - Occupational Health Nurse Practitioner |
| License Number | R185090 |
| State | MD |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE NURSE PRACTITIONER GROUP, LLC 401(K) PLAN | 2023 | 813478068 | 2024-06-11 | THE NURSE PRACTITIONER GROUP, LLC | 211 | |||||||||||||
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| THE NURSE PRACTITIONER GROUP, LLC 401(K) PLAN | 2022 | 813478068 | 2023-06-09 | THE NURSE PRACTITIONER GROUP, LLC | 89 | |||||||||||||
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| THE NURSE PRACTITIONER GROUP, LLC 401(K) PLAN | 2021 | 813478068 | 2022-04-28 | THE NURSE PRACTITIONER GROUP, LLC | 78 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SANTIAGO, STACEY | Agent | 10472 Taft Street, Pembroke Pines, FL 33026 |
| Name | Role | Address |
|---|---|---|
| Santiago, Stacey | President | 10472 Taft Street, Pembroke Pines, FL 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 10472 Taft Street, Pembroke Pines, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-23 | 10472 Taft Street, Pembroke Pines, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-23 | 10472 Taft Street, Pembroke Pines, FL 33026 | No data |
| LC AMENDMENT | 2022-02-08 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-19 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-16 |
| LC Amendment | 2022-02-08 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-04 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
