| Entity Name: | MOBILE VISITING PRACTITIONERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jan 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Nov 2024 (3 months ago) |
| Document Number: | L18000006764 |
| FEI/EIN Number | 82-4083811 |
| Address: | 140 SOUTH BEACH STREET, SUITE 202, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 140 SOUTH BEACH STREET, SUITE 202, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265915359 | 2018-09-13 | 2020-11-05 | 140 S BEACH ST STE 202, DAYTONA BEACH, FL, 321144409, US | 140 S BEACH ST STE 202, DAYTONA BEACH, FL, 321144409, US | |||||||||||||||
|
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| Phone | +1 888-506-8836 |
| Fax | 8885068837 |
Authorized person
| Name | EDWARD R KOP |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 3523620627 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| QUALITY TAX & ACCOUNTING LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SWEENEY MARIA | Authorized Person | 140 SOUTH BEACH STREET, SUITE 202, DAYTONA BEACH, FL, 32114 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000137750 | MOBILE DERMATOLOGY SOLUTIONS | ACTIVE | 2022-11-04 | 2027-12-31 | No data | 140 S BEACH ST STE 202, DAYTONA BEACH, FL, 32114 |
| G21000092722 | BEHAVIORAL HEALTH SERVICES OF FLORIDA | ACTIVE | 2021-07-15 | 2026-12-31 | No data | 140 S BEACH ST STE 202, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-25 | QUALITY TAX & ACCOUNTING LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-25 | 3729 S NOVA RD, PORT ORANGE, FL 32129 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT | 2018-04-30 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-25 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-02-01 |
| LC Amendment | 2018-04-30 |
| Florida Limited Liability | 2018-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
