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ST.PETE NURSE PRACTITIONER, LLC - Florida Company Profile

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Company Details

Entity Name: ST.PETE NURSE PRACTITIONER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ST.PETE NURSE PRACTITIONER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Apr 2022 (3 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 May 2022 (3 years ago)
Document Number: L22000166057
FEI/EIN Number 881948325

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 33 4TH STREET NORTH, ST.PETERSBURG, FL, 33701, US
Mail Address: 4670 CHANCELLOR ST NE, ST.PETERSBURG, FL, 33703
ZIP code: 33701
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARABALLO JESSICA Chief Executive Officer 4670 CHANCELLOR ST. NE, ST. PETERSBURG, FL, 33703
CARABALLO JESSICA President 4670 CHANCELLOR ST. NE, ST. PETERSBURG, FL, 33703
CARABALLO JESSICA A Agent 4670 CHANCELLOR ST NE, ST.PETE, FL, 33703

National Provider Identifier

NPI Number:
1720724297
Certification Date:
2022-05-09

Authorized Person:

Name:
JESSICA CARABALLO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-17 33 4TH STREET NORTH, ST.PETERSBURG, FL 33701 -
AMENDMENT 2022-05-02 - -

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-03-06
Amendment 2022-05-02
Florida Limited Liability 2022-04-06

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Date of last update: 03 Jun 2025

Sources: Florida Department of State