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FLORIDA STATE NURSE REGISTRY SOUTH, LLC

Company Details

Entity Name: FLORIDA STATE NURSE REGISTRY SOUTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Jun 2023 (2 years ago)
Document Number: L23000299128
FEI/EIN Number 93-2115475
Address: 12200 Menta St. Suite 101, ORLANDO, FL, 32837, US
Mail Address: 12200 Menta St. Suite 101, ORLANDO, FL, 32837, US
ZIP code: 32837
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013788207 2024-01-16 2024-01-16 12200 MENTA ST STE 108, ORLANDO, FL, 328377540, US 12200 MENTA ST STE 108, ORLANDO, FL, 328377540, US

Contacts

Phone +1 352-261-6475

Authorized person

Name JEROME P ROWE
Role CEO/PRESIDENT
Phone 4077444496

Taxonomy

Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary Yes

Agent

Name Role Address
ROWE JEROME P Agent 12200 MENTA STREET, ORLANDO, FL, 32837

Manager

Name Role Address
ROWE JEROME P Manager 12200 MENTA STREET, SUITE 108, ORLANDO,, FL, 32837

Authorized Member

Name Role Address
ROWE JEROME P Authorized Member 12200 MENTA ST, SUITE 108, ORLANDO, FL, FL, 32837

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-19 12200 Menta St. Suite 101, ORLANDO, FL 32837 No data
CHANGE OF MAILING ADDRESS 2024-09-19 12200 Menta St. Suite 101, ORLANDO, FL 32837 No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
Florida Limited Liability 2023-06-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State