Entity Name: | ADVANCE PRACTICE PRACTITIONER LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
ADVANCE PRACTICE 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. |
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: | 01 Jul 2022 (3 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 04 Nov 2024 (6 months ago) |
Document Number: | L22000296649 |
FEI/EIN Number |
88-3097230
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 8526 NEMOURS PKWY, ORLANDO, FL, 32827, US |
Mail Address: | 8526 NEMOURS PKWY, ORLANDO, FL, 32827, US |
ZIP code: | 32827 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114795721 | 2023-12-13 | 2023-12-13 | 8526 NEMOURS PKWY, ORLANDO, FL, 328277752, US | 8526 NEMOURS PKWY, ORLANDO, FL, 328277752, US | |||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 954-993-0542 |
Authorized person
Name | MR. ALLISTAIR MCDONALD SMITH |
Role | CEO/PHYSICIAN ASSISTANT |
Phone | 9549930542 |
Taxonomy
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | Yes |
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1952884389 |
State | FL |
Issuer | NA |
Number | 1932682432 |
State | FL |
Issuer | NA |
Number | 1952884389 |
State | FL |
Issuer | MEDICAID |
Number | 1932682432 |
State | FL |
Name | Role | Address |
---|---|---|
SMITH ALLISTAIR | Authorized Member | 8526 NEMOURS PKWY, ORLANDO, FL, 32827 |
LEGALINC CORPORATE SERVICES INC. | Agent | - |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-11-04 | - | - |
REGISTERED AGENT NAME CHANGED | 2024-11-04 | LEGALINC CORPORATE SERVICES INC. | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
REGISTERED AGENT ADDRESS CHANGED | 2022-12-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
Name | Date |
---|---|
REINSTATEMENT | 2024-11-04 |
Florida Limited Liability | 2022-07-01 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State