| Entity Name: | GRECIA S. IBARRA, APRN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2020 (4 years ago) |
| Document Number: | L20000375284 |
| FEI/EIN Number | 85-4215881 |
| Address: | 19119 Dove Rd, Land O Lakes, FL, 34638, US |
| Mail Address: | 19119 Dove Rd, Land O Lakes, FL, 34638, US |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134952757 | 2024-08-20 | 2024-08-20 | 19119 DOVE RD, LAND O LAKES, FL, 346382592, US | 8407 PINEHURST DR STE 104, TAMPA, FL, 336151532, US | |||||||||||||||
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| Phone | +1 813-850-0050 |
| Fax | 8133085500 |
Authorized person
| Name | GRECIA SOFIA IBARRA |
| Role | OWNER |
| Phone | 8138500050 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IBARRA GRECIA S | Agent | 19119 Dove Rd, Land O Lakes, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| IBARRA GRECIA S | Manager | 19119 Dove Rd, Land O Lakes, FL, 34638 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000098103 | IREMIA PSYCHIATRIC CARE | ACTIVE | 2024-08-17 | 2029-12-31 | No data | 19119 DOVE RD, LAND O LAKES, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 19119 Dove Rd, Land O Lakes, FL 34638 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 19119 Dove Rd, Land O Lakes, FL 34638 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-29 | 19119 Dove Rd, Land O Lakes, FL 34638 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-11-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
