| Entity Name: | ISABEL K YAGUE ARNP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2013 (12 years ago) |
| Document Number: | P13000007921 |
| FEI/EIN Number | 46-1897615 |
| Address: | 920 SW 93RD AVE, MIAMI, FL, 33174, US |
| Mail Address: | 920 SW 93RD AVE, MIAMI, FL, 33174, US |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730731340 | 2019-07-13 | 2019-07-13 | 2461 SW 84TH AVE, MIAMI, FL, 331552458, US | 2461 SW 84TH AVE, MIAMI, FL, 331552458, US | |||||||||||||||||||||
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| Phone | +1 786-351-0167 |
| Fax | 3054020941 |
Authorized person
| Name | MRS. ISABEL KARINA YAGUE |
| Role | OWNER |
| Phone | 7863510167 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ARNP9264571 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YAGUE ISABEL K | Agent | 920 SW 93 RD AVE, MIAMI,FL, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| YAGUE ISABEL K | President | 920 SW 93 RD AVE, MIAMI, FL, 33174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000063380 | ADVANCE HOUSE CALL MEDICAL SERVICES | EXPIRED | 2019-05-31 | 2024-12-31 | No data | 920 SW 93RD AVE, NA, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-13 | 920 SW 93RD AVE, MIAMI, FL 33174 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-13 | 920 SW 93RD AVE, MIAMI, FL 33174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
