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CKG NURSE PRACTITIONER IN PSYCHIATRY, PLLC

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Company Details

Name: CKG NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Feb 2024 (a year ago)
Entity Number: 7254519
ZIP code: 34987
County: New York
Place of Formation: New York
Address: 12651 sw green creek drive, PORT SAINT LUCIE, FL, United States, 34987

DOS Process Agent

Name Role Address
the llc DOS Process Agent 12651 sw green creek drive, PORT SAINT LUCIE, FL, United States, 34987

National Provider Identifier

NPI Number:
1285491977
Certification Date:
2024-02-29

Authorized Person:

Name:
COREY K GONERA
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-02-14 2024-04-24 Address 12651 sw green creek drive, PORT SAINT LUCIE, FL, 34987, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240424003734 2024-04-23 CERTIFICATE OF PUBLICATION 2024-04-23
240214001633 2024-02-13 ARTICLES OF ORGANIZATION 2024-02-13

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State