| Entity Name: | MICHELLE AFD NP SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 May 2023 (2 years ago) |
| Document Number: | L23000265153 |
| FEI/EIN Number | 93-1772778 |
| Address: | 6306 SW 1ST STREET, MARGATE, FL 33068 |
| Mail Address: | 6306 SW 1ST STREET, MARGATE, FL 33068 |
| ZIP code: | 33068 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760168710 | 2023-06-26 | 2023-06-26 | 6306 SW 1ST ST, MARGATE, FL, 33068, US | 6306 SW 1ST ST, MARGATE, FL, 33068, US | |||||||||||||
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| Phone | +1 954-361-3907 |
Authorized person
| Name | MICHELLE FREDERICK DAVIS |
| Role | MANAGER |
| Phone | 9543613907 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FREDERICK DAVIS, MICHELLE A | Agent | 6306 SW 1ST STREET, MARGATE, FL 33068 |
| Name | Role | Address |
|---|---|---|
| FREDERICK DAVIS, MICHELLE A | Manager | 6306 SW 1ST STREET, MARGATE, FL 33068 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| Florida Limited Liability | 2023-05-31 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
