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AZARIAH NURSE REGISTRY LLC

Company Details

Entity Name: AZARIAH NURSE REGISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Apr 2021 (4 years ago)
Document Number: L21000157479
FEI/EIN Number 863335475
Address: 4821 US-19 S, NEW PORT RICHEY, FL, 34652, US
Mail Address: 4821 US-19 S, NEW PORT RICHEY, FL, 34652, US
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861073066 2021-04-19 2022-03-22 6611 US HWY 19 S, STE 210, NEW PORT RICHEY, FL, 346521732, US 6611 US HWY 19 S, STE 210, NEW PORT RICHEY, FL, 346521732, US

Contacts

Phone +1 727-835-7207
Fax 7274783071

Authorized person

Name YURIMA QUINTANA FUENTES
Role OWNER
Phone 8135263851

Taxonomy

Taxonomy Code 3747A0650X - Attendant Care Provider
Is Primary Yes

Agent

Name Role Address
QUINTANA FUENTES YURIMA Agent 4821 US-19 S, NEW PORT RICHEY, FL, 34652

Managing Member

Name Role Address
QUINTANA FUENTES YURIMA Managing Member 4821 US-19 S, NEW PORT RICHEY, FL, 34652
QUINTANA FUENTES YUNEISI Managing Member 4821 US-19 S, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-09 4821 US-19 S, STE 1, NEW PORT RICHEY, FL 34652 No data
CHANGE OF MAILING ADDRESS 2023-03-09 4821 US-19 S, STE 1, NEW PORT RICHEY, FL 34652 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-09 4821 US-19 S, STE 1, NEW PORT RICHEY, FL 34652 No data
REGISTERED AGENT NAME CHANGED 2022-06-14 QUINTANA FUENTES, YURIMA No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-09
AMENDED ANNUAL REPORT 2022-06-14
ANNUAL REPORT 2022-02-18
Florida Limited Liability 2021-04-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State