| Entity Name: | NURSE PRACTITIONERS ASSOCIATES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Dec 2020 (4 years ago) |
| Document Number: | P20000097568 |
| FEI/EIN Number | 86-1235496 |
| Address: | 13750 NW 107 AVE SUITE 204, HIALEAH GARDENS, FL 33018 |
| Mail Address: | 13750 NW 107 AVE SUITE 204, HIALEAH GARDENS, FL 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750013454 | 2022-06-30 | 2022-09-14 | 13750 NW 107TH AVE STE 204, MIAMI LAKES, FL, 330181278, US | 13750 NW 107TH AVE STE 204, MIAMI LAKES, FL, 330181278, US | |||||||||||||||
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| Phone | +1 305-423-9677 |
| Fax | 7865585368 |
Authorized person
| Name | ANNERY DIAZ |
| Role | PRESIDENT |
| Phone | 7865140483 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ, ANNERY | Agent | 14230 LAKE CANDLEWOOD CT, MIAMI LAKE, FL 33014 |
| Name | Role | Address |
|---|---|---|
| DIAZ, ANNERY | Manager | 14230 LAKE CANDLEWOOD CT, MIAMI LAKE, FL 33014 |
| DIAZ, JORGE C | Manager | 14230 LAKE CANDLEWOOD CT, MIAMI LAKE, FL 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000060789 | JUVENIQE WELLNESS CENTER | ACTIVE | 2024-05-09 | 2029-12-31 | No data | 13750 NW 107TH AVE UNIT 204, HIALEAH GARDENS, FL, 33018 |
| G22000064364 | ADVANCED PRACTITIONER CARE | ACTIVE | 2022-05-24 | 2027-12-31 | No data | 13750 NW 107 AVE SUITE 204, HIALEAH GARDENS, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-14 | 13750 NW 107 AVE SUITE 204, HIALEAH GARDENS, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-14 | 13750 NW 107 AVE SUITE 204, HIALEAH GARDENS, FL 33018 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-14 |
| Domestic Profit | 2020-12-14 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
