| Entity Name: | SWFL PRACTITIONERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Aug 2024 (6 months ago) |
| Document Number: | L24000348648 |
| Address: | 2623 45TH AVENUE NE, NAPLES, FL 34120 |
| Mail Address: | 2623 45TH AVENUE NE, NAPLES, FL 34120 |
| ZIP code: | 34120 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073349387 | 2024-09-12 | 2024-09-12 | 2623 45TH AVE NE, NAPLES, FL, 341201780, US | 2623 45TH AVE NE, NAPLES, FL, 341201780, US | |||||||||||||
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| Phone | +1 239-662-5900 |
Authorized person
| Name | MR. JOHN FRANCIS BIRD |
| Role | PRACTICE MANAGER |
| Phone | 2392986976 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARTER, PAULA | Agent | 2623 45TH AVENUE NE, NAPLES, FL, FL 34120-US |
| Name | Role | Address |
|---|---|---|
| HARTER, PAULA | Chief Operating Officer | 2623 45TH AVENUE NE, NAPLES, FL 34120 |
| Name | Role | Address |
|---|---|---|
| BIRD, JOHN F | Chief Executive Officer | 16974 COLONY LAKES BLVD, FORT MYERS, FL 33908 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-07 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
