| Entity Name: | TEAM NURSING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Mar 2001 (24 years ago) |
| Document Number: | P01000030866 |
| FEI/EIN Number | 650785615 |
| Address: | 6561 SUNSET STRIP, SUITE 101, SUNRISE, FL, 33313 |
| Mail Address: | 6561 SUNSET STRIP, SUITE 101, SUNRISE, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427204718 | 2008-08-18 | 2008-08-18 | 6561 SUNSET STRIP, SUITE 101, SUNRISE, FL, 333132838, US | 6561 SUNSET STRIP, SUITE 101, SUNRISE, FL, 333132838, US | |||||||||||||||||||||||||
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| Phone | +1 954-742-8694 |
| Fax | 9547425904 |
Authorized person
| Name | MRS. KATHLEEN PHILLIPS |
| Role | ADMINISTRATOR |
| Phone | 9547428694 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991540 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | 299991540 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COHN ALAN B | Agent | 100 W. CYPRESS CREEK ROAD, FORT LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS KATHLEEN | President | 6561 SUNSET STRIP SUITE 101, SUNRISE, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS KATHLEEN | Director | 6561 SUNSET STRIP SUITE 101, SUNRISE, FL, 33313 |
| PHILLIPS LARRY | Director | 6561 SUNSET STRIP SUITE 101, SUNRISE, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS LARRY | Secretary | 6561 SUNSET STRIP SUITE 101, SUNRISE, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS LARRY | Treasurer | 6561 SUNSET STRIP SUITE 101, SUNRISE, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-12-30 | No data | No data |
| AMENDMENT | 2001-10-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
