| Entity Name: | CONVENIENT PRACTITIONER SERVICES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Jan 2012 (13 years ago) |
| Document Number: | P09000031666 |
| FEI/EIN Number | 90-0459378 |
| Address: | 1460 SW 67th Terrace, Plantation, FL 33317 |
| Mail Address: | 1460 SW 67th Terrace, Plantation, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063656155 | 2009-04-21 | 2009-04-21 | 10641 SW 37TH PL, DAVIE, FL, 333281310, US | 10641 SW 37TH PL, DAVIE, FL, 333281310, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-861-7522 |
| Fax | 9549169436 |
Authorized person
| Name | MS. IGDALIS ROLDAN CHRISTEN |
| Role | PRESIDENT |
| Phone | 9548617522 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ARNP1737192 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP1737192 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROLDAN, IGDALIS | Agent | 1460 SW 67th Terrace, Plantation, FL 33317 |
| Name | Role | Address |
|---|---|---|
| ROLDAN, IGDALIS | Director | 1460 SW 67th Terrace, Plantation, FL 33317 |
| Name | Role | Address |
|---|---|---|
| ROLDAN, IGDALIS | President | 1460 SW 67th Terrace, Plantation, FL 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-27 | 1460 SW 67th Terrace, Plantation, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-27 | 1460 SW 67th Terrace, Plantation, FL 33317 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-27 | 1460 SW 67th Terrace, Plantation, FL 33317 | No data |
| REINSTATEMENT | 2012-01-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-13 | ROLDAN, IGDALIS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
