| Entity Name: | FLORIDA APRN QUALITY CONNECT, CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Nov 2022 (2 years ago) |
| Document Number: | P22000087012 |
| FEI/EIN Number | 88-4399085 |
| Address: | 15900 SW 197 AVENUE, MIAMI, FL, 33187 |
| Mail Address: | 15900 SW 197 AVENUE, MIAMI, FL, 33187 |
| ZIP code: | 33187 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609589951 | 2023-01-03 | 2023-01-03 | 15900 SW 197TH AVE, MIAMI, FL, 331871108, US | 15900 SW 197TH AVE, MIAMI, FL, 331871108, US | |||||||||||||||
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| Phone | +1 786-470-4563 |
| Fax | 3059645385 |
Authorized person
| Name | TEODULO JOSE PEREZ |
| Role | APRN |
| Phone | 7864704563 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ TEODULO J | Agent | 15900 SW 197TH AVENUE, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| PEREZ TEODULO J | President | 15900 SW 197TH AVENUE, MIAMI, FL, 33187 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-25 |
| Domestic Profit | 2022-11-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
