| Entity Name: | RUTH KREIS-ORKOULAS, ARNP, PMHNP-BC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2017 (8 years ago) |
| Document Number: | L17000140487 |
| FEI/EIN Number | 82-2020388 |
| Address: | 721 East Atlantic Boulevard, Pompano Beach, FL 33060 |
| Mail Address: | 721 E ATLANTIC BLVD, POMPANO BEACH, FL 33060 |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992226955 | 2017-06-29 | 2017-08-11 | 3759 NW 35TH ST, COCONUT CREEK, FL, 330662464, US | 14201 W SUNRISE BLVD STE 208, SUNRISE, FL, 333233207, US | |||||||||||||||||||||||||
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| Phone | +1 732-598-1777 |
| Phone | +1 954-851-9690 |
| Fax | 9548519688 |
Authorized person
| Name | RUTH KREIS-ORKOULAS |
| Role | SOLE PROPRIETOR |
| Phone | 7325981777 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9392692 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KREIS-ORKOULAS, RUTH | Agent | 721 E ATLANTIC BLVD, POMPANO BEACH, FL 33060 |
| Name | Role | Address |
|---|---|---|
| KREIS-ORKOULAS, RUTH | Manager | 806 SE 7TH, APT 305C DEERFIELD BEACH, FL 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 721 East Atlantic Boulevard, Pompano Beach, FL 33060 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 721 East Atlantic Boulevard, Pompano Beach, FL 33060 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 721 E ATLANTIC BLVD, POMPANO BEACH, FL 33060 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-23 |
| Florida Limited Liability | 2017-06-28 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
