| Entity Name: | ADVANCED PRACTITIONERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Aug 1998 (27 years ago) |
| Date of dissolution: | 04 Oct 2002 (22 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 04 Oct 2002 (22 years ago) |
| Document Number: | P98000074352 |
| FEI/EIN Number | 593530144 |
| Address: | 5070 NEFF LAKE RD., BROOKSVILLE, FL, 34602 |
| Mail Address: | 5070 NEFF LAKE RD., BROOKSVILLE, FL, 34602 |
| ZIP code: | 34602 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376730796 | 2007-09-30 | 2016-04-20 | PO BOX 36, BROOKSVILLE, FL, 346050036, US | 26 E LIBERTY ST, BROOKSVILLE, FL, 346012910, US | |||||||||||||||||||||||
|
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| Phone | +1 352-346-5949 |
| Fax | 3528483058 |
| Phone | +1 352-848-3068 |
Authorized person
| Name | MS. CARMEN REGINA GALDA |
| Role | A.R.N.P. |
| Phone | 3523465949 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 302677900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GALDA CARMEN REGINA | Agent | 5070 NEFF LAKE RD., BROOKSVILLE, FL, 34602 |
| Name | Role | Address |
|---|---|---|
| GALDA CARMEN REGINA | Director | 5070 NEFF LAKE RD., BROOKSVILLE, FL, 34602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-04-20 | 5070 NEFF LAKE RD., BROOKSVILLE, FL 34602 | No data |
| CHANGE OF MAILING ADDRESS | 1999-04-20 | 5070 NEFF LAKE RD., BROOKSVILLE, FL 34602 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-04-20 | 5070 NEFF LAKE RD., BROOKSVILLE, FL 34602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2001-05-12 |
| ANNUAL REPORT | 2000-05-16 |
| ANNUAL REPORT | 1999-04-20 |
| Domestic Profit | 1998-08-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
