Entity Name: | JULIE A. HARRIS DNP LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Oct 2024 (4 months ago) |
Document Number: | L24000427254 |
Address: | 1880 STADSKLEV RD, MARIANNA, FL, 32448 |
Mail Address: | 1880 STADSKLEV RD, MARIANNA, FL, 32448 |
ZIP code: | 32448 |
County: | Jackson |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487475497 | 2024-10-22 | 2024-10-22 | 1909 STADSKLEV ROAD, MARIANNA, FL, 324486627, US | 4215 KELSON AVE ST E, MARIANNA, FL, 32446, US | |||||||||||||||||
|
Phone | +1 850-209-8328 |
Phone | +1 850-526-3434 |
Fax | 8505267743 |
Authorized person
Name | JULIE HARRIS |
Role | OWNER |
Phone | 8502098328 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HARRIS JULIE A | Agent | 1880 STADSKLEV RD, MARIANNA, FL, 32448 |
Name | Role | Address |
---|---|---|
HARRIS JULIE A | Manager | 1880 STADSKLEV RD, MARIANNA, FL, 32448 |
Name | Date |
---|---|
Florida Limited Liability | 2024-10-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State