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SUNRISE FAMILY PRACTICE, LLC - Florida Company Profile

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Company Details

Entity Name: SUNRISE FAMILY PRACTICE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Aug 2022 (3 years ago)
Document Number: L22000366792
FEI/EIN Number 88-4015925
Address: 255NE 19TH DRIVE, OKEECHOBEE, FL, 34972, US
Mail Address: 830 SE 25TH STREET, OKEECHOBEE, FL, 34974, US
ZIP code: 34972
City: Okeechobee
County: Okeechobee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DHILLON SUNITA Authorized Member 830 SE 25TH STREET, OKEECHOBEE, FL, 34974
DHILLON SUNITA Agent 830 SE 25TH STREET, OKEECHOBEE, FL, 34974

National Provider Identifier

NPI Number:
1669180881
Certification Date:
2022-11-07

Authorized Person:

Name:
SUNITA DHILLON
Role:
NURSE PRACTIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8634679850

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-11-14 255NE 19TH DRIVE, OKEECHOBEE, FL 34972 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-30
Florida Limited Liability 2022-08-22

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Date of last update: 01 Jul 2025

Sources: Florida Department of State