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INDEA B. KING NURSE PRACTITIONER IN FAMILY HEALTH PLLC

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Company Details

Name: INDEA B. KING NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Dec 2021 (4 years ago)
Entity Number: 6359091
ZIP code: 14225
County: Erie
Place of Formation: New York
Address: 16 e. grand boulevard, cheektowaga, NY, United States, 14225

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 16 e. grand boulevard, cheektowaga, NY, United States, 14225

National Provider Identifier

NPI Number:
1487547063
Certification Date:
2025-06-02

Authorized Person:

Name:
INDEA KING
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7162175480

History

Start date End date Type Value
2022-09-15 2024-11-14 Address 16 e. grand boulevard, cheektowaga, NY, 14225, USA (Type of address: Service of Process)
2021-12-29 2022-09-15 Address 16 e. grand boulevard, cheektowaga, NY, 14225, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241114004193 2024-11-14 BIENNIAL STATEMENT 2024-11-14
220915000162 2022-04-12 CERTIFICATE OF PUBLICATION 2022-04-12
211229001739 2021-12-28 ARTICLES OF ORGANIZATION 2021-12-28

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State