| Entity Name: | ADVANCED PRACTICE SKILLS WORKSHOP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Dec 2019 (5 years ago) |
| Document Number: | L19000299566 |
| FEI/EIN Number | 84-3942147 |
| Address: | 19156 Meadow Pine Dr, Tampa, FL, 33647-3609, US |
| Mail Address: | 19156 Meadow Pine Dr, Tampa, FL, 33647-3609, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306685003 | 2024-05-22 | 2024-07-31 | PO BOX 47475, TAMPA, FL, 336460113, US | 2927 PEARSON JAMES PLACE, LUTZ, FL, 33559, US | |||||||||||||||
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| Phone | +1 404-370-2158 |
| Phone | +1 813-428-5295 |
Authorized person
| Name | MRS. ERICA R EVANS |
| Role | CO-OWNER |
| Phone | 4043702158 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EVANS ERICA R | Agent | 19156 Meadow Pine Dr, Tampa, FL, 336473609 |
| Name | Role | Address |
|---|---|---|
| SMITH ETHEL | Authorized Representative | 35656 Quartz Lake Drive, Zephyrhills, FL, 33541 |
| EVANS ERICA R | Authorized Representative | 8202 Canary Canyon Way, Tampa, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000058825 | EXPANDED HEALTH | ACTIVE | 2024-05-03 | 2029-12-31 | No data | 19156 MEADOW PINE DR, TAMPA, FL, 33647--360 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-15 | 8202 Canary Canyon Way, Tampa, FL 33647-3609 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-15 | 8202 Canary Canyon Way, Tampa, FL 33647-3609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-15 | 8202 Canary Canyon Way, Tampa, FL 33647-3609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-03 | 19156 Meadow Pine Dr, Tampa, FL 33647-3609 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-03 | 19156 Meadow Pine Dr, Tampa, FL 33647-3609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-03 | 19156 Meadow Pine Dr, Tampa, FL 33647-3609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-05-03 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-17 |
| Florida Limited Liability | 2019-12-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
