| Entity Name: | NGUYEN FAMILY PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Aug 2021 (3 years ago) |
| Document Number: | L21000372733 |
| FEI/EIN Number | 87-2203771 |
| Address: | 25365 W NEWBERRY RD, NEWBERRY, FL, 32669 |
| Mail Address: | 25365 W NEWBERRY RD, NEWBERRY, FL, 32669 |
| ZIP code: | 32669 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568133460 | 2021-09-22 | 2021-09-22 | 25365 W NEWBERRY RD, NEWBERRY, FL, 326694253, US | 25365 W NEWBERRY RD, NEWBERRY, FL, 326694253, US | |||||||||||||||||
|
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| Phone | +1 352-472-2275 |
Authorized person
| Name | NELSON NGUYEN |
| Role | OWNER |
| Phone | 3524722275 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NGUYEN NELSON T | Agent | 25365 W NEWBERRY RD, NEWBERRY, FL, 32669 |
| Name | Role | Address |
|---|---|---|
| NGUYEN NELSON T | Manager | 25365 W NEWBERRY RD, NEWBERRY, FL, 32669 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2021-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
