| Entity Name: | ALICIA JIMENEZ APRN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Feb 2020 (5 years ago) |
| Document Number: | L20000042161 |
| FEI/EIN Number | 87-2284435 |
| Address: | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 |
| Mail Address: | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154902807 | 2021-04-15 | 2021-08-23 | 1000 W PEMBROKE RD STE 322, HALLANDALE BEACH, FL, 330092181, US | 1000 W PEMBROKE RD STE 322, HALLANDALE BEACH, FL, 330092181, US | |||||||||||||||
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| Phone | +1 954-932-0299 |
| Fax | 9549320298 |
Authorized person
| Name | ALICIA JIMENEZ |
| Role | OWNER/PROVIDER |
| Phone | 9549320299 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JIMENEZ, ALICIA, Mrs. | Agent | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ, ALICIA | Manager | 1000 W Pembroke Rd, #322 Hallandale Beach, FL 33009 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000028576 | FLORIDA FNP | ACTIVE | 2021-03-01 | 2026-12-31 | No data | 1000 W PEMBROKE RD., SUITE 322, HALLANDALE BEACH, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-30 | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-30 | 1000 W Pembroke Rd, #322, Hallandale Beach, FL 33009 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-01 | JIMENEZ, ALICIA, Mrs. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-02-01 |
| Florida Limited Liability | 2020-02-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
