| Entity Name: | ANAMARIA SHANLEY, MSN, APRN, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Document Number: | L22000118926 |
| FEI/EIN Number | 88-1499135 |
| Address: | 1954 Howell Branch Rd., Suite 106, Winter Park, FL 32792 |
| Mail Address: | 3564 Avalon Park East Boulevard, Suite 110, ORLANDO, FL 32828 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386369700 | 2022-10-07 | 2023-03-06 | 3564 AVALON PARK EAST BLVD STE 110, ORLANDO, FL, 328287365, US | 1954 HOWELL BRANCH RD, WINTER PARK, FL, 327921041, US | |||||||||||||||
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| Phone | +1 407-917-6015 |
| Fax | 9494378401 |
Authorized person
| Name | ANAMARIA SHANLEY |
| Role | NURSE PRACTITIONER/ OWNER |
| Phone | 4079176015 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHANLEY, BRYAN C | Agent | 4229 HUGHES ST., ORLANDO, FL 32828 |
| Name | Role | Address |
|---|---|---|
| SHANLEY, ANAMARIA G | Manager | 4229 HUGHES ST., ORLANDO, FL 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000011988 | SHARED PURPOSE | ACTIVE | 2023-01-25 | 2028-12-31 | No data | 3564 AVALON PARK EAST BOULEVARD, #110, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-06 | 1954 Howell Branch Rd., Suite 106, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-06 | 1954 Howell Branch Rd., Suite 106, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-06 |
| Florida Limited Liability | 2022-03-08 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
