Entity Name: | NOVA'S INNOVATED URGENT CARE, LLC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 05 Apr 2023 (2 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | L23000168852 |
Address: | 4417 13TH ST., 335, SAINT CLOUD, FL, 34772 |
Mail Address: | 4417 13TH ST., 335, SAINT CLOUD, FL, 34772 |
ZIP code: | 34772 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134805534 | 2023-06-22 | 2023-06-22 | 4417 13TH ST, SAINT CLOUD, FL, 347696724, US | 737 SOUTH SEMORAN BLVD, ORLANDO, FL, 32807, US | |||||||||||||||
|
Phone | +1 407-693-2819 |
Fax | 4072646936 |
Authorized person
Name | FREDERIED RIVERA LOPEZ |
Role | FNP-BC |
Phone | 4076932819 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RIVERA LOPEZ FREDERIED | Agent | 4417 13TH ST., SAINT CLOUD, FL, 34772 |
Name | Role | Address |
---|---|---|
RIVERA LOPEZ FREDERIED | Manager | 5044 CENTER CT, SAINT CLOUD, FL, 34772 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2023-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State