| Entity Name: | J MARTINEZ FNP CLINICIAN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 May 2021 (4 years ago) |
| Document Number: | L21000208669 |
| FEI/EIN Number | 87-0824753 |
| Address: | 10742 SW 138TH PLACE, MIAMI, FL 33186 |
| Mail Address: | 10742 SW 138TH PLACE, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851000822 | 2022-11-18 | 2022-11-18 | 10742 SW 138TH PL, MIAMI, FL, 331863165, US | 10742 SW 138TH PL, MIAMI, FL, 331863165, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-332-3936 |
Authorized person
| Name | JOSE MARTINEZ |
| Role | CEO |
| Phone | 3053323936 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JOSE F | Agent | 10742 SW 138TH PLACE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JOSE F | Manager | 10742 SW 138TH PLACE, MIAMI, FL 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-13 |
| Florida Limited Liability | 2021-05-04 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
