| Entity Name: | NABR MEDICAL GROUP PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jul 2021 (4 years ago) |
| Document Number: | L21000329527 |
| FEI/EIN Number | 87-1760067 |
| Address: | 58 Spanish Creek Dr, Ponte Vedra, FL 32081 |
| Mail Address: | 58 Spanish Creek Dr, Ponte Vedra, FL 32081 |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093469280 | 2022-02-07 | 2023-11-02 | 4210 VALLEY RIDGE BLVD STE 131, PONTE VEDRA, FL, 320815183, US | 4210 VALLEY RIDGE BLVD STE 131, PONTE VEDRA, FL, 320815183, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 866-687-6227 |
| Fax | 8666876227 |
Authorized person
| Name | MARC ARENAS |
| Role | OWNER |
| Phone | 8666876227 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARENAS, MARC | Agent | 58 SPANISH CREEK DR, PONTE VEDRA, FL 32081 |
| Name | Role | Address |
|---|---|---|
| ARENAS, MARC, MD | Authorized Member | 58 SPANISH CREEK DR, PONTE VEDRA, FL 32081 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000152607 | NABR HEALTH | ACTIVE | 2022-12-12 | 2027-12-31 | No data | 58 SPANISH CREEK DR, PONTE VEDRA, FL, 32081 |
| G22000044939 | NABR HEALTH | ACTIVE | 2022-04-08 | 2027-12-31 | No data | 58 SPANISH CREEK DR, PONTE VEDRA, FL, 32081 |
| G21000096291 | DR NABR | ACTIVE | 2021-07-22 | 2026-12-31 | No data | 4651 SALISBURY ROAD, SUITE 400 - #3425, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-04 | 58 Spanish Creek Dr, Ponte Vedra, FL 32081 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-04 | 58 Spanish Creek Dr, Ponte Vedra, FL 32081 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-04 |
| Florida Limited Liability | 2021-07-20 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
