| Entity Name: | HN1 THERAPY NETWORK OF NEBRASKA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Sep 2022 (2 years ago) |
| Document Number: | L22000385727 |
| FEI/EIN Number | 88-4109873 |
| Address: | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Mail Address: | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326761552 | 2022-09-22 | 2023-03-03 | 2001 S ANDREWS AVE, FORT LAUDERDALE, FL, 333163429, US | 2001 S ANDREWS AVE, FORT LAUDERDALE, FL, 333163429, US | |||||||||||||
|
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| Phone | +1 305-614-0100 |
Authorized person
| Name | MR. MARTIN BILOWICH |
| Role | PRESIDENT |
| Phone | 3056140101 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ALBERTO A | Agent | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| MOSQUERA, LUIS G | Chief Executive Officer | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| BILOWICH, MARTIN E | President | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ALBERTO A | Secretary | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| LEAHY, ROBERT J | Asst. Secretary | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-11 |
| Florida Limited Liability | 2022-09-01 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
