| Entity Name: | LPR PROFESSIONAL HEALTH CLINIC INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Aug 2021 (4 years ago) |
| Document Number: | P21000074333 |
| FEI/EIN Number | 87-2233733 |
| Address: | 1518 NE VAN LOON LN, CAPE CORAL, FL 33909 |
| Mail Address: | 1518 NE VAN LOON LN, CAPE CORAL, FL 33909 |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356011175 | 2021-09-14 | 2021-09-14 | 1518 NE VAN LOON LN, CAPE CORAL, FL, 339092798, US | 1518 NE VAN LOON LN, CAPE CORAL, FL, 339092798, US | |||||||||||||
|
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| Phone | +1 786-597-4260 |
Authorized person
| Name | LILLIAM PEREZ RODRIGUEZ |
| Role | APRN |
| Phone | 7865974260 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ RODRIGUEZ, LILLIAM | Agent | 1518 NE VAN LOON LN, CAPE CORAL, FL 33909 |
| Name | Role | Address |
|---|---|---|
| PEREZ RODRIGUEZ, LILLIAM | President | 1518 NE VAN LOON LN, CAPE CORAL, FL 33909 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-03 |
| Domestic Profit | 2021-08-18 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
