| Entity Name: | F & N PROVIDER SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Jul 2013 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Oct 2014 (10 years ago) |
| Document Number: | P13000056129 |
| FEI/EIN Number | 30-0799265 |
| Address: | 843 NW 119th STREET, North Miami, FL 33168 |
| Mail Address: | 843 NW 119th ST, MIAMI, FL 33168 |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235554973 | 2014-03-04 | 2014-04-30 | 843 NW119 TH STREET, MIAMI, FL, 331682336, US | 845 NW119 TH STREET, MIAMI, FL, 331682336, US | |||||||||||||||||
|
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| Phone | +1 305-318-1252 |
Authorized person
| Name | LUCNER NELSON |
| Role | PRESIDENT |
| Phone | 3053181252 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 107333 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NELSON, ROSEANN E | Agent | 109 SE CROSSPOINT DR, PORT ST. LUCIE, FL 34983 |
| Name | Role | Address |
|---|---|---|
| NELSON, Roseann | President | 109 SE CROSSPOINT DR, PORT SAINT LUCIE, FL 34983 |
| Name | Role | Address |
|---|---|---|
| NELSON, Rony | Vice President | 109 SE CROSSPOINT DR, PORT ST. LUCIE, FL 34983 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000123969 | FATIMA MEDICAL CENTER OF NORTH MIAMI | ACTIVE | 2013-12-17 | 2028-12-31 | No data | 843 NW 119 ST, NORTH MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 843 NW 119th STREET, North Miami, FL 33168 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-29 | 109 SE CROSSPOINT DR, PORT ST. LUCIE, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-17 | 843 NW 119th STREET, North Miami, FL 33168 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-11-04 | NELSON, ROSEANN E | No data |
| AMENDMENT | 2014-10-17 | No data | No data |
| AMENDMENT | 2013-12-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-17 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-07-12 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-02-28 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
