| Entity Name: | BRITTANY BLALOCK APRN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000150067 |
| FEI/EIN Number | 85-1415868 |
| Address: | 700 MARSH COVE LANE, PONTE VEDRA BEACH, FL, 32082 |
| Mail Address: | 700 MARSH COVE LANE, PONTE VEDRA BEACH, FL, 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487324927 | 2021-09-16 | 2021-09-24 | 700 MARSH COVE LN, PONTE VEDRA BEACH, FL, 320821694, US | 700 MARSH COVE LN, PONTE VEDRA BEACH, FL, 320821694, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-788-4835 |
| Fax | 9042823487 |
Authorized person
| Name | MS. BRITTANY S. BLALOCK |
| Role | APRN |
| Phone | 9047784838 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| BLALOCK BRITTANY | Authorized Member | 700 MARSH COVE LANE, PONTE VEDRA BEACH, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000121955 | PEACEFUL MIND NP | ACTIVE | 2021-09-17 | 2026-12-31 | No data | 700 MARSH COVE LANE, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-08-24 |
| Florida Limited Liability | 2020-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
