| Entity Name: | MONICA L CRAIG, NP-C, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Dec 2020 (4 years ago) |
| Document Number: | L21000005334 |
| FEI/EIN Number | 86-1333614 |
| Mail Address: | 473 NE BILLY CRAIG CT, LAKE CITY, FL 32055 |
| Address: | 137 SE Craig Ave, Lake City, FL 32025 |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760201693 | 2024-10-08 | 2024-10-08 | 137 SE CRAIG AVE, LAKE CITY, FL, 320254968, US | 137 SE CRAIG AVE, LAKE CITY, FL, 320254968, US | |||||||||||||||
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| Phone | +1 386-247-0572 |
| Fax | 2862876525 |
Authorized person
| Name | MONICA CRAIG |
| Role | OWNER |
| Phone | 3862470572 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRAIG, MONICA L | Agent | 137 SE Craig Ave, Lake City, FL 32025 |
| Name | Role | Address |
|---|---|---|
| CRAIG, MONICA L | Manager | 137 SE Craig Ave, Lake City, FL 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000067171 | INTEGRATIVE DIRECT PRIMARY CARE | ACTIVE | 2022-05-31 | 2027-12-31 | No data | 473 NE BILLY CRAIG CT, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | 137 SE Craig Ave, Lake City, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-02 | 137 SE Craig Ave, Lake City, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-02-08 |
| Florida Limited Liability | 2020-12-28 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
