| Entity Name: | DONNA MALKOVICH APRN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 May 2019 (6 years ago) |
| Document Number: | L19000118916 |
| FEI/EIN Number | 83-4709714 |
| Address: | 11125 Park Blvd, Suite #118, SEMINOLE, FL, 33772, US |
| Mail Address: | 11925 MANDARIN COURT, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285276964 | 2019-10-14 | 2021-08-02 | 11925 MANDARIN CT, SEMINOLE, FL, 337723435, US | 11125 PARK BLVD STE 118, SEMINOLE, FL, 337724700, US | |||||||||||||
|
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| Phone | +1 727-688-9968 |
Authorized person
| Name | MRS. DONNA ZVEZDANA MALKOVICH |
| Role | APRN/ OWNER |
| Phone | 7276889968 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DONNA MALKOVICH APRN LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MALKOVICH DONNA | Manager | 11925 MANDARIN COURT, SEMINOLE, FL, 33772 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000105945 | SEMINOLE WELLNESS CENTER LLC | ACTIVE | 2021-08-17 | 2026-12-31 | No data | 11125 PARK BLVD, STE 118, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-13 | 11125 Park Blvd, Suite #118, SEMINOLE, FL 33772 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-13 | Donna Malkovich APRN LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-13 | 11925 MANDARIN COURT, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-04-18 |
| Florida Limited Liability | 2019-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
