| Entity Name: | FLORIDA ADVANCED ACUPUNCTURE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jan 2018 (7 years ago) |
| Document Number: | L18000000961 |
| FEI/EIN Number | 82-3864992 |
| Address: | 14003 N DALE MABRY HWY, TAMPA, FL, 33618, US |
| Mail Address: | 14003 N DALE MABRY HWY, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649778663 | 2018-01-24 | 2018-06-20 | 14003 N DALE MABRY HWY, TAMPA, FL, 336182459, US | 14003 N DALE MABRY HWY, TAMPA, FL, 336182459, US | |||||||||||||||||||||||||
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| Phone | +1 813-841-0337 |
Authorized person
| Name | DR. PATRICK CAPRI |
| Role | PRESIDENT |
| Phone | 8139619174 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | AP3890 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | AP3890 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WEHLE GERARD FJR | Agent | 6987 E FOWLER AVE, TAMPA, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| CAPRI PATRICK N | Manager | 14003 N DALE MABRY HWY, TAMPA, FL, 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000082115 | FULL BODY ACUPUNCTURE | ACTIVE | 2022-07-11 | 2027-12-31 | No data | 14003 N. DALE MABRY HWY, TAMPA, FL, 33618 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-02-04 |
| Florida Limited Liability | 2018-01-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
