| Entity Name: | A TRUSTED NURSE PRACTITIONER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Apr 2022 (3 years ago) |
| Document Number: | L20000033027 |
| FEI/EIN Number | 84-4606395 |
| Address: | 1101 GULF BREEZE PKWY, GULF BREEZE, FL, 32561, US |
| Mail Address: | 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295368645 | 2020-02-13 | 2022-07-06 | 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 325612436, US | 1101 GULF BREEZE PKWY STE 514, GULF BREEZE, FL, 325614862, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-384-6256 |
| Phone | +1 850-990-9100 |
| Fax | 8503960142 |
Authorized person
| Name | RENEA KATHLEEN CLOWDSLEY |
| Role | CEO |
| Phone | 8509909100 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Clowdsley Renea K | Agent | 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| CLOWDSLEY RENEA K | Authorized Representative | 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 325612436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-07 | 1101 GULF BREEZE PKWY, BLDG 5 UNIT 14, GULF BREEZE, FL 32561 | No data |
| REINSTATEMENT | 2022-04-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-19 | Clowdsley, Renea K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-19 | 6 OCEAN VIEW DR, PENSACOLA BEACH, FL 32561 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-04-06 |
| REINSTATEMENT | 2022-04-19 |
| Florida Limited Liability | 2020-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
