| Entity Name: | KIMBERLY ELSER ADVANCED PRACTICE NURSING SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jul 2009 (16 years ago) |
| Date of dissolution: | 10 Feb 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Feb 2015 (10 years ago) |
| Document Number: | P09000062485 |
| FEI/EIN Number | 270617582 |
| Address: | 13157 NW 11TH PLACE, SUNRISE, FL, 33323 |
| Mail Address: | 13157 NW 11TH PLACE, SUNRISE, FL, 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558646489 | 2011-10-11 | 2013-07-01 | 13157 NW 11TH PL, SUNRISE, FL, 333232957, US | 13157 NW 11TH PL, SUNRISE, FL, 333232957, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 754-200-6074 |
Authorized person
| Name | DR. KIMBERLY M. ELSER |
| Role | NURSE PRACTITIONER |
| Phone | 7542006074 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | APRN 9294970 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LX0001X - Obstetrics & Gynecology Nurse Practitioner |
| License Number | APRN 9294970 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367A00000X - Advanced Practice Midwife |
| License Number | APRN 9294970 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ELSER KIMBERLY | Agent | 13157 NW 11TH PLACE, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| ELSER KIMBERLY | Director | 13157 NW 11TH PLACE, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-02-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-23 | 13157 NW 11TH PLACE, SUNRISE, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-23 | 13157 NW 11TH PLACE, SUNRISE, FL 33323 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-23 | 13157 NW 11TH PLACE, SUNRISE, FL 33323 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-27 | ELSER, KIMBERLY | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-02-10 |
| ANNUAL REPORT | 2014-03-01 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-02-23 |
| ANNUAL REPORT | 2011-02-21 |
| ANNUAL REPORT | 2010-02-27 |
| Domestic Profit | 2009-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
