| Entity Name: | WILSON MEDICAL PRACTICE NP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Sep 2020 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L20000288575 |
| FEI/EIN Number | 85-3125183 |
| Address: | 2028 Northwest 6th Street, Cape Coral, 33993, UN |
| Mail Address: | 2028 Northwest 6th Street, Cape Coral, FL, 33993, US |
| ZIP code: | 33993 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447849088 | 2021-01-17 | 2022-01-06 | 2030 NW 5TH TER, CAPE CORAL, FL, 339937536, US | 2028 NW 6TH ST, CAPE CORAL, FL, 339937527, US | |||||||||||||||
|
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| Phone | +1 239-322-6470 |
| Fax | 2392062449 |
Authorized person
| Name | BRETT M WILSON |
| Role | APRN |
| Phone | 2393226470 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON BRETT M | Agent | 2028 Northwest 6th Street, Cape Coral, FL, 33993 |
| Name | Role | Address |
|---|---|---|
| Wilson Brett | Manager | 2028 Northwest 6th Street, Cape Coral, FL, 33993 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-23 | 2028 Northwest 6th Street, Cape Coral 33993 UN | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-23 | 2028 Northwest 6th Street, Cape Coral 33993 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-23 | 2028 Northwest 6th Street, Cape Coral, FL 33993 | No data |
| LC NAME CHANGE | 2020-11-05 | WILSON MEDICAL PRACTICE NP LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-01-30 |
| LC Name Change | 2020-11-05 |
| Florida Limited Liability | 2020-09-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
