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MY NURSE DOCTOR PRIMARY CARE LLC

Company Details

Entity Name: MY NURSE DOCTOR PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 18 Jan 2022 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L22000034722
Address: 1507 CARBONDALE DR N, JACKSONVILLE, FL 32208
Mail Address: 1507 CARBONDALE DR N, JACKSONVILLE, FL 32208
ZIP code: 32208
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639824055 2022-02-14 2022-02-14 301 W BAY ST STE 14529, JACKSONVILLE, FL, 322025184, US 301 W BAY ST, JACKSONVILLE, FL, 322025184, US

Contacts

Phone +1 904-571-0200

Authorized person

Name STEPHANIE SPEIGHTS-SELLERS
Role OWNER
Phone 9045710200

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
SPEIGHTS-SELLERS, STEPHANIE L Agent 1507 CARBONDALE DR N, JACKSONVILLE, FL 32208

Manager

Name Role Address
SPEIGHTS-SELLERS, STEPHANIE L Manager 1507 CARBONDALE DR N, JACKSONVILLE, FL 32208

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2022-01-18

Date of last update: 13 Jan 2025

Sources: Florida Department of State