| Entity Name: | ROGER RIVERA NP PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Feb 2022 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000082914 |
| FEI/EIN Number | 92-1543874 |
| Address: | 2241 PALMETTO GLEN DR, APT 4415, KISSIMMEE, FL, 34741 |
| Mail Address: | 2241 PALMETTO GLEN DR, APT 4415, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801593801 | 2023-02-09 | 2023-05-10 | 3495 W VINE ST, KISSIMMEE, FL, 347414668, US | 3495 W VINE ST, KISSIMMEE, FL, 347414668, US | |||||||||||||||||||
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| Phone | +1 407-753-1500 |
| Fax | 3217101767 |
Authorized person
| Name | ROGER RIVERA |
| Role | CEO |
| Phone | 4077531500 |
Taxonomy
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERA ROGER | Agent | 2241 PALMETTO GLEN DR, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| RIVERA ROGER | Manager | 2241 PALMETTO GLEN DR APT 4415, KISSIMMEE, FL, 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000012072 | MENTE SUAVE - PSYCHIATRY & MEDICINE | ACTIVE | 2023-01-25 | 2028-12-31 | No data | 2241 PALMETTO GLEN DRIVE, APT 4415, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-24 |
| Florida Limited Liability | 2022-02-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
