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LA TANYA WALLACE, NURSE PRACTITIONER & ASSOCIATES, INC. - Florida Company Profile

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Company Details

Entity Name: LA TANYA WALLACE, NURSE PRACTITIONER & ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Jan 2024 (2 years ago)
Document Number: P24000004801
FEI/EIN Number 99-0483512
Mail Address: 6921 SPERRY CT, SAN DIEGO, CA, 92111, US
Address: 8822 MUGNAI ST., RIVERVIEW, FL, 33578, US
ZIP code: 33578
City: Riverview
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
WALLACE LA TANYA President 8822 MUGNAI ST., RIVERVIEW, FL, 33578
WILLIAMS KEVIN Director 6921 SPERRY CT, SAN DIEGO, CA, 92111
WILLIAMS SHILOH Secretary 318 G ST, CHULA VISTA, CA, 91910
WALLACE DIANA Founder 8253 BEDFORD COVE WAY, SACRAMENTO, CA, 95828

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000031958 LA TANYA WALLACE, NURSE PRACTITIONER & ASSOCIATES ACTIVE 2024-02-29 2029-12-31 - 3356 SECOND AVE, SUITE G, SAN DIEGO, CA, 92103

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-06 8822 MUGNAI ST., RIVERVIEW, FL 33578 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
Domestic Profit 2024-01-16

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Date of last update: 01 Jul 2025

Sources: Florida Department of State