| Entity Name: | DR BOTTKOL APRN DNP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2020 (4 years ago) |
| Document Number: | L20000312871 |
| FEI/EIN Number | 85-3988259 |
| Address: | 406 LA SIESTA DRIVE, MEXICO BEACH, FL, 32456, US |
| Mail Address: | 406 LA SIESTA DRIVE, MEXICO BEACH, FL, 32456, US |
| ZIP code: | 32456 |
| County: | Gulf |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447847983 | 2020-12-30 | 2020-12-30 | 406 LASIESTA DRIVE, MEXICO BEACH, FL, 32456, US | 406 LASIESTA DRIVE, MEXICO BEACH, FL, 32456, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-381-1866 |
Authorized person
| Name | MRS. CHRISTINE BOTTKOL |
| Role | OWNER |
| Phone | 8503811866 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOTTKOL CHRISTINE A | Agent | 406 LA SIESTA DRIVE, MEXICO BEACH, FL, 32456 |
| Name | Role | Address |
|---|---|---|
| BOTTKOL CHRISTINE A | Manager | 406 LA SIESTA DRIVE, MEXICO BEACH, FL, 32456 |
| BOTTKOL CHRISTINE | Manager | 406 LA SIESTA DRIVE, MEXICO BEACH, FL, 32456 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-28 | BOTTKOL, CHRISTINE A | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-15 | 406 LA SIESTA DRIVE, MEXICO BEACH, FL 32456 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-15 | 406 LA SIESTA DRIVE, MEXICO BEACH, FL 32456 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-04-15 |
| Florida Limited Liability | 2020-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
