| Entity Name: | ADVANCED PRACTITIONER SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Apr 2017 (8 years ago) |
| Date of dissolution: | 27 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Apr 2021 (4 years ago) |
| Document Number: | P17000036388 |
| FEI/EIN Number | 82-1276984 |
| Address: | 1025 S Miriam Dr, Winter Haven, FL, 33884, US |
| Mail Address: | 1025 S Miriam Dr, Winter Haven, FL, 33884, US |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457974602 | 2020-05-22 | 2024-06-06 | 109 AMBERSWEET WAY STE 642, DAVENPORT, FL, 338978418, US | 450 ROUTE 50, UNIT 4, CLERMONT, FL, 34711, US | |||||||||||||||
|
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| Phone | +1 732-599-0690 |
| Fax | 8453271074 |
Authorized person
| Name | MR. ARTHUR KHARONOV |
| Role | PROVIDER |
| Phone | 7325990690 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOVEY Barbara | Agent | 1025 S Miriam Dr, Winter Haven, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| BOVEY BARBARA | President | 1025 S Miriam Dr, Winter Haven, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 1025 S Miriam Dr, Winter Haven, FL 33884 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 1025 S Miriam Dr, Winter Haven, FL 33884 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-20 | BOVEY, Barbara | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-20 | 1025 S Miriam Dr, Winter Haven, FL 33884 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-27 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-30 |
| Domestic Profit | 2017-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
