Entity Name: | YANES FAMILY PRIMARY CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 10 Apr 2023 (2 years ago) |
Document Number: | L23000176133 |
FEI/EIN Number | 92-3843856 |
Mail Address: | 6311 BRENTON POINTE CV, ORLANDO, FL 32829 |
Address: | 2685 Maxwell Ct W, Kissimmee, FL 34743 |
ZIP code: | 34743 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649955469 | 2023-06-19 | 2023-06-19 | 6311 BRENTON POINTE CV, ORLANDO, FL, 328298020, US | 6311 BRENTON POINTE CV, ORLANDO, FL, 328298020, US | |||||||||||||
|
Phone | +1 407-692-1730 |
Authorized person
Name | MIGUEL YANES DELGADO |
Role | OWNER |
Phone | 4076921730 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
YANES DELGADO, MIGUEL | Agent | 6311 BRENTON POINTE CV, ORLANDO, FL 32829 |
Name | Role | Address |
---|---|---|
YANES DELGADO, MIGUEL | Manager | 6311 BRENTON POINTE CV, ORLANDO, FL 32829 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-08-17 | 2685 Maxwell Ct W, Kissimmee, FL 34743 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-10 |
Florida Limited Liability | 2023-04-10 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State