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CARING HEART FAMILY NURSE PRACTITIONER PLLC

Company Details

Entity Name: CARING HEART FAMILY NURSE PRACTITIONER PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Nov 2020 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 31 Jul 2024 (6 months ago)
Document Number: L20000350485
FEI/EIN Number APPLIED FOR
Mail Address: 21 Old Kings Rd N, Palm Coast, FL, 32137, US
Address: 21 OLD KINGS RD N UNIT 108, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043801772 2021-01-26 2023-10-17 138 WELLSTONE DR, PALM COAST, FL, 321644111, US 21 OLD KINGS RD N UNIT 108, PALM COAST, FL, 321378254, US

Contacts

Phone +1 239-222-8065
Fax 3862325152

Authorized person

Name EVANGELINE BUTLER
Role OWNER
Phone 2392228065

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
BUTLER EVANGELINE Authorized Member 21 Old Kings Rd N, Palm Coast, FL, 32137

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-07-31 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-07-31 21 OLD KINGS RD N UNIT 108, PALM COAST, FL 32137 No data
CHANGE OF MAILING ADDRESS 2024-03-02 21 OLD KINGS RD N UNIT 108, PALM COAST, FL 32137 No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
LC AMENDMENT 2022-01-26 No data No data

Documents

Name Date
LC Amendment 2024-07-31
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-14
LC Amendment 2022-01-26
ANNUAL REPORT 2021-04-06
Florida Limited Liability 2020-11-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State