| Entity Name: | BRADLEY,NP & ASSOC., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Sep 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Apr 2020 (5 years ago) |
| Document Number: | P18000077905 |
| FEI/EIN Number | 86-1744463 |
| Address: | 11610 SW 179 Terrace, Miami, FL, 33157, US |
| Mail Address: | 11610 SW 179 Terrace, Miami, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568937316 | 2018-10-09 | 2018-10-09 | 14543 SW 142ND COURT CIR, MIAMI, FL, 331865627, US | 14543 SW 142ND COURT CIR, MIAMI, FL, 331865627, US | |||||||||||||||||||
|
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| Phone | +1 305-321-6664 |
Authorized person
| Name | MS. DIANE LYNETTE BRADLEY |
| Role | OWNER |
| Phone | 3053216664 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BOARD OF NURSING |
| Number | ARNP1671072 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRADLEY DIANE L | Agent | 11610 SW 179 Terrace, Miami, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| BRADLEY DIANE | President | 11610 SW 179 Terrace, Miami, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-12 | 11610 SW 179 Terrace, Miami, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-12 | 11610 SW 179 Terrace, Miami, FL 33157 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-12 | 11610 SW 179 Terrace, Miami, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-10 | BRADLEY, DIANE LYNETTE | No data |
| REINSTATEMENT | 2020-04-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-04-10 |
| REINSTATEMENT | 2020-04-10 |
| Domestic Profit | 2018-09-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
