| 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: | 200 E ROBINSON ST, Orlando, FL, 32801, US |
| Mail Address: | PO Box264, Winter Haven, FL, 33882, US |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669126488 | 2022-02-10 | 2022-02-10 | PO BOX 264, WINTER HAVEN, FL, 338820264, US | 1651 MARSHALL RD SW, WINTER HAVEN, FL, 338801955, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 510-331-1361 |
Authorized person
| Name | DAVIDA NICOLE MILLER |
| Role | CEO |
| Phone | 5103311361 |
Taxonomy
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QV0200X - VA Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MILLER DAVIDA NAPRN | Agent | 200 E ROBINSON ST, Orlando, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| DAVIDA MILLER N | Chief Executive Officer | 1651!MARSHALL RD SW, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-20 | 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-20 | 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-20 | 200 E ROBINSON ST, 1120-c79, Orlando, FL 32801 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-01-29 |
| Domestic Non-Profit | 2021-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
