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FAMILY NP TELEMEDICINE CORP

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ABU-SHTAIAH, ABDELRAHIM Agent 6912 CAUSEWAY BLVD, TAMPA, FL 33619

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-10-28 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-10-28
Domestic Profit 2019-03-15

Date of last update: 17 Jan 2025

Sources: Florida Department of State