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TARA JOHNSON NURSE PRACTITIONER LLC

Company Details

Entity Name: TARA JOHNSON NURSE PRACTITIONER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 20 Oct 2021 (3 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L21000457954
Address: 1642 WHITE BREEZE COVE, BRADENTON, FL, 34208, US
Mail Address: 1642 WHITE BREEZE COVE, BRADENTON, FL, 34208, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780341438 2021-11-17 2021-11-17 1642 WHITE BREEZE CV, BRADENTON, FL, 342085719, US 1642 WHITE BREEZE CV, BRADENTON, FL, 342085719, US

Contacts

Phone +1 941-388-8997

Authorized person

Name TARA JOHNSON
Role OWNER
Phone 9413888997

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
JOHNSON TARA Agent 1642 WHITE BREEZE COVE, BRADENTON, FL, 34208

Authorized Member

Name Role Address
JOHNSON TARA Authorized Member 1642 WHITE BREEZE COVE, BRADENTON, FL, 34208

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
Florida Limited Liability 2021-10-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State