| Entity Name: | REBECCA D. MARTIN, ARNP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 May 2013 (12 years ago) |
| Document Number: | P13000047631 |
| FEI/EIN Number | 46-2951516 |
| Address: | 10575 68TH AVE NORTH, SEMINOLE, FL, 33772, US |
| Mail Address: | 10575 68TH AVE NORTH, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649611377 | 2013-07-10 | 2024-08-03 | 10575 68TH AVE STE A2, SEMINOLE, FL, 337726023, US | 10575 68TH AVE STE A2, SEMINOLE, FL, 337726023, US | |||||||||||||||||||
|
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| Phone | +1 727-272-1844 |
| Fax | 8774222920 |
Authorized person
| Name | REBECCA DAWN MARTIN |
| Role | ARNP/OWNER |
| Phone | 7272721844 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN REBECCA D | Agent | 10575 68th Ave, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| MARTIN REBECCA D | President | 10575 68th Ave, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| MARTIN REBECCA D | Secretary | 10575 68th Ave, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| MARTIN REBECCA D | Treasurer | 10575 68th Ave, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-20 | 10575 68TH AVE NORTH, SUITE A2, SEMINOLE, FL 33772 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-20 | 10575 68TH AVE NORTH, SUITE A2, SEMINOLE, FL 33772 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-20 | 10575 68th Ave, Suite A2, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-05 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
