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ADVANCED HEALTH PRACTICE SOLUTIONS, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
KING & WOOD, P.A. Agent

President

Name Role Address
PAPPAS CARA L President 2250 Bluff Oak Way #434, TALLAHASSEE, FL, 32311

Treasurer

Name Role Address
PAPPAS CARA L Treasurer 2250 Bluff Oak Way #434, TALLAHASSEE, FL, 32311

Vice President

Name Role Address
LOPEZ BETHSAIDA J Vice President 3554 LAKESHORE DRIVE, TALLAHASSEE, FL, 32312

Fictitious Names

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

Events

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

Documents

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