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A TRUSTED NURSE PRACTITIONER, LLC - Florida Company Profile

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Company Details

Entity Name: A TRUSTED NURSE PRACTITIONER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jan 2020 (6 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
City: Gulf Breeze
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLOWDSLEY RENEA K Authorized Representative 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 325612436
Clowdsley Renea K Agent 6 OCEAN VIEW DR, PENSACOLA BEACH, FL, 32561

National Provider Identifier

NPI Number:
1295368645
Certification Date:
2022-07-06

Authorized Person:

Name:
RENEA KATHLEEN CLOWDSLEY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8503960142

Events

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 -
REINSTATEMENT 2022-04-19 - -
REGISTERED AGENT NAME CHANGED 2022-04-19 Clowdsley, Renea K -
REGISTERED AGENT ADDRESS CHANGED 2022-04-19 6 OCEAN VIEW DR, PENSACOLA BEACH, FL 32561 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-04-06
REINSTATEMENT 2022-04-19
Florida Limited Liability 2020-01-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State