| Entity Name: | NURSE PRACTITIONER ASSOCIATES OF SOUTH FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Mar 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000028351 |
| FEI/EIN Number | 262226421 |
| Address: | 1421 SW107TH AVENUE, #118, MIAMI, FL, 33174 |
| Mail Address: | 1421 SW107TH AVENUE, # 118, MIAMI, FL, 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114169141 | 2009-04-06 | 2009-04-06 | 9737 NW 41ST ST, STE 418, DORAL, FL, 331782924, US | 9737 NW 41ST ST, STE 418, DORAL, FL, 331782924, US | |||||||||||||||||
|
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| Phone | +1 305-490-0494 |
Authorized person
| Name | MR. HENRY HENAO |
| Role | PRESIDENT |
| Phone | 3054900494 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9219002 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENAO HENRY | Agent | 1421 SW 107TH AVE, MIAMI, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| HENAO HENRY A | President | 1421 SW 107TH AVE, #118, MIAMI, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| HENAO HENRY A | Secretary | 1421 SW 107TH AVE, #118, MIAMI, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| HENAO HENRY A | Director | 1421 SW 107TH AVE, #118, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-26 | 1421 SW107TH AVENUE, #118, MIAMI, FL 33174 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-26 | 1421 SW107TH AVENUE, #118, MIAMI, FL 33174 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-26 | HENAO, HENRY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-26 | 1421 SW 107TH AVE, #118, MIAMI, FL 33174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-18 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-04-28 |
| Domestic Profit | 2008-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
