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TYMBER LEE TATUM ARNP, LLC - Florida Company Profile

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Company Details

Entity Name: TYMBER LEE TATUM ARNP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Oct 2023 (2 years ago)
Document Number: L23000455502
FEI/EIN Number 933810449
Address: 4289 NW American Lane, Lake City, FL, 32055, US
Mail Address: 4289 NW american Lane, lake city, FL, 32055, US
ZIP code: 32055
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TERRELL TYMBER T Agent 9090 sw 113TH AVE, LAKE BUTLER, FL, 32054
TERRELL TYMBER T President 9090 sw 113TH AVE, LAKE BUTLER, FL, 32054
Terrell David Vice President 4289 NW American Lane, Lake City, FL, 32055

National Provider Identifier

NPI Number:
1265204226
Certification Date:
2024-08-13

Authorized Person:

Name:
TYMBER TATUM TERRELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3862005755

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000140391 ALPHAGRAPHICS HILLSBOROUGH ACTIVE 2023-11-16 2028-12-31 - 13542 N. FLORIDA AVE., STE. 212 #1022, TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-25 4289 NW American Lane, Lake City, FL 32055 -
CHANGE OF MAILING ADDRESS 2024-07-25 4289 NW American Lane, Lake City, FL 32055 -
REGISTERED AGENT ADDRESS CHANGED 2024-07-25 9090 sw 113TH AVE, LAKE BUTLER, FL 32054 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-03-22
Florida Limited Liability 2023-10-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State