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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
CINDYS FLORIDA LLC | Agent | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
Name | Role | Address |
---|---|---|
CLOUD PEAK LAW GROUP, P.C. | Authorized Representative | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
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 |
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