| Entity Name: | MOBILE PRACTITIONERS GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Mar 2020 (5 years ago) |
| Document Number: | P20000024288 |
| FEI/EIN Number | 84-5133602 |
| Address: | 3363 DIONE STREET, WEST MELBOURNE, FL 32904 |
| Mail Address: | 3363 DIONE STREET, WEST MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841827789 | 2020-03-23 | 2020-03-23 | 3363 DIONE ST, WEST MELBOURNE, FL, 329047582, US | 3363 DIONE ST, WEST MELBOURNE, FL, 329047582, US | |||||||||||||
|
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| Phone | +1 904-477-3138 |
Authorized person
| Name | MR. SHEDRICK SHIELDS |
| Role | OWNER |
| Phone | 9044773138 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHIELDS, SHEDRICK D | Agent | 3363 DIONE STREET, WEST MELBOURNE, FL 32904 |
| Name | Role | Address |
|---|---|---|
| SHIELDS, SHEDRICK D | Chief Executive Officer | 3363 DIONE STREET, WEST MELBOURNE, FL 32904 |
| Name | Role | Address |
|---|---|---|
| SHIELDS, LASHELL Q | Chief Operating Officer | 3363 DIONE STREET, WEST MELBOURNE, FL 32904 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| Domestic Profit | 2020-03-16 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
