| Entity Name: | MICHAEL D.GRIFFIN, APRN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Sep 2024 (5 months ago) |
| Document Number: | L24000383361 |
| Address: | 1930 SLOAN CT, ROCKLEDGE, FL 33955 UN |
| Mail Address: | 1930 SLOAN CT, ROCKLEDGE, FL 33955 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801614870 | 2024-09-30 | 2024-09-30 | 1930 SLOAN CT, ROCKLEDGE, FL, 329556912, US | 1930 SLOAN CT, ROCKLEDGE, FL, 329556912, US | |||||||||||||||
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| Phone | +1 321-487-2173 |
| Fax | 3219265300 |
Authorized person
| Name | MIKE GRIFFIN |
| Role | OWNER |
| Phone | 3212000471 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, LESLIE L | Agent | 1930 SLOAN CT, ROCKLEDGE, FL 33955 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, MICHAEL D | APRN | 897 SHAW CIRCLE, MELBOURNE, FL 32940 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000123685 | NETWORK NP | ACTIVE | 2024-10-03 | 2029-12-31 | No data | 1930 SLOAN COURT, ROCKLEDGE, FL, 32955 |
| G24000122493 | NPCONNECT,LLC | ACTIVE | 2024-10-01 | 2029-12-31 | No data | 1930 SLOAN CT, ROCKLEDGE, FL, 32955 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-03 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
