| Entity Name: | TERESA A FOCARACCI ARNP PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Oct 2016 (8 years ago) |
| Document Number: | P16000081796 |
| FEI/EIN Number | 81-3989060 |
| Address: | 2141 NE 29TH ST, LIGHTHOUSE POINT, FL, 33064, US |
| Mail Address: | 2141 NE 29TH ST, LIGHTHOUSE POINT, FL, 33064, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366991309 | 2016-10-03 | 2016-10-31 | 2141 NE 29TH ST, LIGHTHOUSE POINT, FL, 330647622, US | 2141 NE 29TH ST, LIGHTHOUSE POINT, FL, 330647622, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-775-2132 |
Authorized person
| Name | TERESA A FOCARACCI |
| Role | ARNP |
| Phone | 3057752132 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1560012C |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Galicia Victor M | Agent | c/o VMG Tax & Accounting Services, LLC, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| FOCARACCI TERESA A | President | 2141 NE 29TH ST, LIGHTHOUSE POINT, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-20 | Galicia, Victor M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-20 | c/o VMG Tax & Accounting Services, LLC, 4830 West Kennedy Blvd, Suite 600, Tampa, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-02-24 |
| Domestic Profit | 2016-10-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
