Entity Name: | URBANZEN PSYCHIATRIC AND MEDICAL HEALTH SOLUTIONS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 16 Jan 2024 (a year ago) |
Document Number: | L24000028622 |
Address: | 10059 CELTIC ASH DRIVE, RUSKIN, FL, 33573 |
Mail Address: | 10059 CELTIC ASH DRIVE, RUSKIN, FL, 33573 |
ZIP code: | 33573 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548026461 | 2024-02-27 | 2024-02-27 | 1046 E BRANDON BLVD STE 1, BRANDON, FL, 335115509, US | 1046 E BRANDON BLVD STE 1, BRANDON, FL, 335115509, US | |||||||||||||||||
|
Phone | +1 727-768-9289 |
Authorized person
Name | QUSHANIA NESBITT |
Role | OWNER |
Phone | 7277689289 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
NESBITT QUSHANIA M | Agent | 10059 CELTIC ASH DRIVE, RUSKIN, FL, 33573 |
Name | Role | Address |
---|---|---|
NESBITT SHANIA M | Manager | 10059 CELTIC ASH DRIVE, RUSKIN, FL, 33573 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State