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 |
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
UNITED STATES CORPORATION AGENTS, INC. | Agent |
Name | Role | Address |
---|---|---|
BUTLER EVANGELINE | Authorized Member | 21 Old Kings Rd N, Palm Coast, FL, 32137 |
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 |
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