| Entity Name: | TYMBER LEE TATUM ARNP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Oct 2023 (a year ago) |
| Document Number: | L23000455502 |
| FEI/EIN Number | 93-3810449 |
| Address: | 4289 NW American Lane, Lake City, FL 32055 |
| Mail Address: | 4289 NW american Lane, lake city, FL 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265204226 | 2023-10-24 | 2024-08-13 | 4289 NW AMERICAN LN, LAKE CITY, FL, 320554881, US | 4289 NW AMERICAN LN, LAKE CITY, FL, 320554881, US | |||||||||||||||
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| Phone | +1 386-628-8008 |
| Fax | 3862005755 |
Authorized person
| Name | TYMBER TATUM TERRELL |
| Role | OWNER |
| Phone | 3866288008 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TERRELL, TYMBER T | Agent | 9090 sw 113TH AVE, LAKE BUTLER, FL 32054 |
| Name | Role | Address |
|---|---|---|
| TERRELL, TYMBER T | Manager | 9090 sw 113TH AVE, LAKE BUTLER, FL 32054 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000140391 | ALPHAGRAPHICS HILLSBOROUGH | ACTIVE | 2023-11-16 | 2028-12-31 | No data | 13542 N. FLORIDA AVE., STE. 212 #1022, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-25 | 4289 NW American Lane, Lake City, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-25 | 4289 NW American Lane, Lake City, FL 32055 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-25 | 9090 sw 113TH AVE, LAKE BUTLER, FL 32054 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-25 |
| ANNUAL REPORT | 2024-03-22 |
| Florida Limited Liability | 2023-10-02 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
