| Entity Name: | KARLI COOKE APRN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Nov 2021 (3 years ago) |
| Document Number: | L21000484815 |
| FEI/EIN Number | 87-3488213 |
| Address: | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 |
| Mail Address: | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588320337 | 2021-11-16 | 2023-10-20 | 9885 PALOMINO DR, LAKE WORTH, FL, 334671016, US | 9885 PALOMINO DR, LAKE WORTH, FL, 334671000, US | |||||||||||||||||||||
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| Phone | +1 561-536-4844 |
| Phone | +1 561-881-6558 |
Authorized person
| Name | KARLI COOKE |
| Role | CEO |
| Phone | 5618952558 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | GNU8J |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COOKE, KARLI, APRN | Agent | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 |
| Name | Role | Address |
|---|---|---|
| COOKE, KARLI MARIA, APRN | Chief Executive Officer | 9885 Palomino Dr, 2nd Floor Office Lake Worth, FL 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000143362 | TRANSCEND HEALTH & WELLNESS | ACTIVE | 2024-11-24 | 2029-12-31 | No data | 2500 SW 22ND STREET, 810, FORT LAUDERDALE, FL, 33312 |
| G22000007980 | KARLI CARES | ACTIVE | 2022-01-21 | 2027-12-31 | No data | 9885 PALOMINO DR, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-11 | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-11 | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-11 | 9885 Palomino Dr, 2nd Floor Office, Lake Worth, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-03 |
| AMENDED ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-11-09 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
