| Entity Name: | JOANNA MULDER NP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Sep 2016 (8 years ago) |
| Document Number: | P16000077369 |
| FEI/EIN Number | 81-3905745 |
| Address: | 2553 MASON OAK DR, VALRICO, FL, 33596, US |
| Mail Address: | 2553 MASON OAK DR, VALRICO, FL, 33596, US |
| ZIP code: | 33596 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144756172 | 2017-05-11 | 2024-05-16 | 2553 MASON OAKS DR, VALRICO, FL, 335966498, US | 2553 MASON OAKS DR, VALRICO, FL, 335966498, US | |||||||||||||||||||
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| Phone | +1 813-940-6046 |
| Fax | 8664514607 |
Authorized person
| Name | JOANNA T MULDER |
| Role | OWNER |
| Phone | 8133760712 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP831452 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MULDER JOANNA T | Agent | 2553 MASON OAK DR, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| MULDER JOANNA T | President | 2553 MASON OAK DR, VALRICO, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-12-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-02-22 |
| Domestic Profit | 2016-09-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
