| Entity Name: | KALI THURMAN APRN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Aug 2021 (3 years ago) |
| Document Number: | L21000361587 |
| FEI/EIN Number | 88-2765284 |
| Address: | 2050 King Circle S, Suite L, Neptune Beach, FL 32266 |
| Mail Address: | 4609 HARTMAN RD, JACKSONVILLE, FL 32225 |
| ZIP code: | 32266 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538899414 | 2022-06-14 | 2022-06-14 | 1157 BEACH BLVD STE 9, JACKSONVILLE BEACH, FL, 322503445, US | 1157 BEACH BLVD STE 9, JACKSONVILLE BEACH, FL, 322503445, US | |||||||||||||||
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| Phone | +1 904-386-8392 |
| Fax | 8555224851 |
Authorized person
| Name | MS. KALI ASHLYN THURMAN |
| Role | OWNER |
| Phone | 9043868392 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THURMAN, KALI A | Agent | 4609 HARTMAN RD, JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| THURMAN, KALI A | Authorized Representative | 4609 HARTMAN RD, JACKSONVILLE, FL 32225 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000071802 | THRIVING MINDS ADHD CENTER | ACTIVE | 2022-06-13 | 2027-12-31 | No data | 4609 HARTMAN ROAD, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 2050 King Circle S, Suite L, Neptune Beach, FL 32266 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-15 |
| Florida Limited Liability | 2021-08-11 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
