Entity Name: | HEAL SIMPLY, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 05 Dec 2022 (2 years ago) |
Document Number: | L22000508981 |
FEI/EIN Number | 92-1288140 |
Address: | 1317 EDGEWATER DRIVE, #5748, ORLANDO, FL 32804 |
Mail Address: | 1317 EDGEWATER DRIVE, #5748, ORLANDO, FL 32804 |
ZIP code: | 32804 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376256685 | 2023-01-02 | 2023-01-02 | 1317 EDGEWATER DR # 5748, ORLANDO, FL, 328046350, US | 1317 EDGEWATER DR # 5748, ORLANDO, FL, 328046350, US | |||||||||||||
|
Phone | +1 407-617-9426 |
Authorized person
Name | MISS AKILAH TUNSILL |
Role | NURSE PRACTITIONER/OWNER |
Phone | 4076179426 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SCURRY, SHANNON | Agent | 1317 EDGEWATER DRIVE, ORLANDO, FL 32804 |
Name | Role | Address |
---|---|---|
TUNSILL, AKILAH D | Authorized Person | 1317 EDGEWATER DRIVE #5748, ORLANDO, FL 32804 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-21 |
Florida Limited Liability | 2022-12-05 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State