| Entity Name: | LIDIA BRAVO APRN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2023 (2 years ago) |
| Document Number: | L23000138460 |
| FEI/EIN Number | 92-3152373 |
| Address: | 25004 SW 107TH AVE, HOMESTEAD, FL, 33032 |
| Mail Address: | 25004 SW 107TH AVE, HOMESTEAD, FL, 33032 |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982391660 | 2023-04-21 | 2023-04-21 | 25004 SW 107TH AVE, HOMESTEAD, FL, 330326337, US | 25004 SW 107TH AVE, HOMESTEAD, FL, 330326337, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-556-9959 |
Authorized person
| Name | LIDIA BRAVO |
| Role | OWNER |
| Phone | 7865569959 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LIDIA BRAVO | Agent | 25004 SW 107TH AVE, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| BRAVO LIDIA | Authorized Person | 25004 SW 107TH AVE, HOMESTEAD, FL, 33032 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
