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YOUR FAVORITE NURSE PRACTITIONER INC. - Florida Company Profile

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Company Details

Entity Name: YOUR FAVORITE NURSE PRACTITIONER INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 17 Mar 2021 (4 years ago)
Document Number: N21000003389
FEI/EIN Number 86-1739688
Address: 757 Cypress Gardens Blvd, WINTER HAVEN, FL, 33880, US
Mail Address: 1651 Marshall Road Southwest, Winter Haven, FL, 33880, US
ZIP code: 33880
City: Winter Haven
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVIDA MILLER N Chief Executive Officer 1651!MARSHALL RD SW, WINTER HAVEN, FL, 33880
MILLER DAVIDA NAPRN Agent 757 Cypress Gardens Blvd, WINTER HAVEN, FL, 33880

National Provider Identifier

NPI Number:
1669126488
Certification Date:
2022-02-10

Authorized Person:

Name:
DAVIDA NICOLE MILLER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251K00000X - Public Health or Welfare Agency
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QV0200X - VA Clinic/Center
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-20 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 -
CHANGE OF MAILING ADDRESS 2023-03-20 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 -
REGISTERED AGENT ADDRESS CHANGED 2023-03-20 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 -

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-01-29
Domestic Non-Profit 2021-03-17

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Date of last update: 03 Aug 2025

Sources: Florida Department of State