Entity Name: | ADVANCED HEALTH PRACTICE SOLUTIONS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Feb 2021 (4 years ago) |
Document Number: | P21000018080 |
FEI/EIN Number | 87-2909817 |
Address: | 3554 Lakeshore Drive, TALLAHASSEE, FL, 32312, US |
Mail Address: | 3554 Lakeshore Drive, TALLAHASSEE, FL, 32312, US |
ZIP code: | 32312 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1881464683 | 2024-01-03 | 2024-01-03 | 3554 LAKESHORE DR, TALLAHASSEE, FL, 323121487, US | 333 N BYRON BUTLER PKWY, PERRY, FL, 323472300, US | |||||||||||||||||||
|
Phone | +1 850-728-6503 |
Phone | +1 850-584-0800 |
Authorized person
Name | MRS. BETHSAIDA LOPEZ GILLUM |
Role | VICE-PRESIDENT |
Phone | 8507286503 |
Taxonomy
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | No |
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Name | Role |
---|---|
KING & WOOD, P.A. | Agent |
Name | Role | Address |
---|---|---|
PAPPAS CARA L | President | 2250 Bluff Oak Way #434, TALLAHASSEE, FL, 32311 |
Name | Role | Address |
---|---|---|
PAPPAS CARA L | Treasurer | 2250 Bluff Oak Way #434, TALLAHASSEE, FL, 32311 |
Name | Role | Address |
---|---|---|
LOPEZ BETHSAIDA J | Vice President | 3554 LAKESHORE DRIVE, TALLAHASSEE, FL, 32312 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000029327 | ADVANCED CARE PROVIDERS | ACTIVE | 2022-03-07 | 2027-12-31 | No data | 1833 VINEYARD WAY, TALLAHASSEE, FL, 32317 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 3554 Lakeshore Drive, TALLAHASSEE, FL 32312 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-17 | 3554 Lakeshore Drive, TALLAHASSEE, FL 32312 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-08 |
ANNUAL REPORT | 2023-04-17 |
ANNUAL REPORT | 2022-03-15 |
Domestic Profit | 2021-02-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State