| Entity Name: | REBECCA M. RIVERA APRN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Feb 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2022 (2 years ago) |
| Document Number: | L20000058990 |
| FEI/EIN Number | 84-4888334 |
| Address: | 7271 N State Rd 7, STE B4, Parkland, FL, 33073, US |
| Mail Address: | 5126 NW 85th Road, CORAL SPRINGS, FL, 33067, US |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578175360 | 2020-08-21 | 2020-08-21 | 2724 NW 124TH AVE, CORAL SPRINGS, FL, 330658014, US | 2631 E OAKLAND PARK BLVD STE 110, FORT LAUDERDALE, FL, 333061607, US | |||||||||||||
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| Phone | +1 954-514-7306 |
Authorized person
| Name | REBECCA MARIA RIVERA |
| Role | NURSE PRACTITIONER |
| Phone | 9548509992 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERA REBECCA M | Agent | 2724 NORTHWEST 124TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| Rivera Rebecca M | Owne | 2724 NORTHWEST 124TH AVENUE, CORAL SPRINGS, 33065 |
| Name | Role | Address |
|---|---|---|
| Rogers Jaron J | Mr | 7271 N State Rd 7, Parkland, FL, 33073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000136803 | RE UP INFUSIONS | ACTIVE | 2020-10-21 | 2025-12-31 | No data | 2724 NW 124 AVE, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-07-19 | 7271 N State Rd 7, STE B4, Parkland, FL 33073 | No data |
| REINSTATEMENT | 2022-12-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-19 | 7271 N State Rd 7, STE B4, Parkland, FL 33073 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-19 | RIVERA, REBECCA M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-03-07 |
| REINSTATEMENT | 2022-12-19 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
