| Entity Name: | LAVERTTA MILLER, APRN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Nov 2021 (3 years ago) |
| Document Number: | L21000478582 |
| FEI/EIN Number | 87-4534009 |
| Address: | 2430 Vanderbilt Beach Rd, Suite 108-573, NAPLES, FL, 34119, US |
| Mail Address: | 910 15th St SW, NAPLES, FL, 34117, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275385643 | 2024-04-01 | 2024-04-01 | 821 VISTANA CIR, NAPLES, FL, 341191004, US | 2430 VANDERBILT BEACH RD STE 108-573, NAPLES, FL, 341092654, US | |||||||||||||||
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| Phone | +1 870-805-9625 |
| Phone | +1 239-427-5541 |
Authorized person
| Name | LAVERTTA K MILLER |
| Role | MANAGER |
| Phone | 2394275541 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER LAVERTTA M | Agent | 821 Vistana Circle, Naples, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| Miller LaVertta K | Manager | 821 Vistana Circle, Naples, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000016476 | SAND SALT SEA MEDICAL SERVICES | ACTIVE | 2024-01-30 | 2029-12-31 | No data | 2340 VANDERBILT BEACH RD, SUITE 108-573, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-07-08 | 2430 Vanderbilt Beach Rd, Suite 108-573, NAPLES, FL 34119 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-06 | 2430 Vanderbilt Beach Rd, Suite 108-573, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-29 | 821 Vistana Circle, 24, Naples, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-29 |
| Florida Limited Liability | 2021-11-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
