Entity Name: | FAMILY NP TELEMEDICINE CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 15 Mar 2019 (6 years ago) |
Date of dissolution: | 28 Oct 2019 (5 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 28 Oct 2019 (5 years ago) |
Document Number: | P19000024117 |
Address: | 6912 CAUSEWAY BLVD, TAMPA 33619 |
Mail Address: | 6912 CAUSEWAY BLVD, TAMPA 33619 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265090385 | 2019-06-04 | 2019-06-11 | 6912 CAUSEWAY BLVD, TAMPA, FL, 336196360, US | 6912 CAUSEWAY BLVD, TAMPA, FL, 336196360, US | |||||||||||||||
|
Phone | +1 813-766-7646 |
Fax | 8133543621 |
Authorized person
Name | YESSICA SAEZ |
Role | ADMINISTRATOR |
Phone | 3865006397 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ABU-SHTAIAH, ABDELRAHIM | Agent | 6912 CAUSEWAY BLVD, TAMPA, FL 33619 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-10-28 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-10-28 |
Domestic Profit | 2019-03-15 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State