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NAVARRE PRIMARY CARE LLC

Company Details

Entity Name: NAVARRE PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 May 2023 (2 years ago)
Document Number: L23000217324
FEI/EIN Number APPLIED FOR
Address: 1772 Sea Lark Ln, navarre, FL 32566
Mail Address: 7565 Frankfort St, navarre, FL 32566
ZIP code: 32566
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457043051 2023-05-22 2023-05-26 7565 FRANKFORT ST, NAVARRE, FL, 325667713, US 1772 SEA LARK LN, NAVARRE, FL, 325667472, US

Contacts

Phone +1 850-313-1323

Authorized person

Name MRS. SHERRIE MELISSA KOENIGSEDER
Role MANAGER
Phone 8503131323

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
CINDYS FLORIDA LLC Agent 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243

Authorized Representative

Name Role Address
CLOUD PEAK LAW GROUP, P.C. Authorized Representative 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-18 1772 Sea Lark Ln, navarre, FL 32566 No data
CHANGE OF MAILING ADDRESS 2023-07-18 1772 Sea Lark Ln, navarre, FL 32566 No data

Documents

Name Date
ANNUAL REPORT 2024-04-12
Florida Limited Liability 2023-05-02

Date of last update: 10 Feb 2025

Sources: Florida Department of State