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DR. MCGUIRE, NP LLC - Florida Company Profile

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Company Details

Entity Name: DR. MCGUIRE, NP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Jul 2019 (6 years ago)
Document Number: L19000194103
FEI/EIN Number 84-2723652
Address: 124 E. Miracle Strip Pkwy, Mary Esther, FL, 32569, US
Mail Address: 124 E. Miracle Strip Pkwy, Mary Esther, FL, 32569, US
ZIP code: 32569
City: Mary Esther
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCGUIRE KAMEKO H Chief Executive Officer 124 E. Miracle Strip Pkwy, Mary Esther, FL, 32569
MCGUIRE MICHAEL C Chief Operating Officer 124 E. Miracle Strip Pkwy, Mary Esther, FL, 32569
MCGUIRE Michael C Agent 124 E. Miracle Strip Pkwy, Mary Esther, FL, 32569

National Provider Identifier

NPI Number:
1881318376
Certification Date:
2022-09-28

Authorized Person:

Name:
DR. KAMEKO HAZLEY MCGUIRE
Role:
CEO/NP
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000106658 NEW HOPE MENTAL HEALTH AND WELLNESS ACTIVE 2022-09-01 2027-12-31 - 124 E. MIRACLE STRIP PARKWAY, SUITE 202, MARY ESTHER, FL, 32569
G21000098183 CYPRESS HEALTHCARE ACTIVE 2021-07-27 2026-12-31 - 9396 POUDER LANE, NAVARRE, FL, 32566
G20000108559 CYPRESS EDUCATIONAL SERVICES ACTIVE 2020-08-21 2025-12-31 - 913 BEAL PKWY NW, SUITE A-1047, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-16 124 E. Miracle Strip Pkwy, SUITE 202, Mary Esther, FL 32569 -
CHANGE OF MAILING ADDRESS 2023-01-16 124 E. Miracle Strip Pkwy, SUITE 202, Mary Esther, FL 32569 -
REGISTERED AGENT NAME CHANGED 2023-01-16 MCGUIRE, Michael C -
REGISTERED AGENT ADDRESS CHANGED 2023-01-16 124 E. Miracle Strip Pkwy, SUITE 202, Mary Esther, FL 32569 -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-01-22
Florida Limited Liability 2019-07-30

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Date of last update: 02 Jul 2025

Sources: Florida Department of State