| Entity Name: | THE FAMILY PRACTICE CENTER - LAKE WORTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Oct 1982 (42 years ago) |
| Document Number: | G05335 |
| FEI/EIN Number | 592241286 |
| Address: | 4617 19 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| Mail Address: | 4617 19 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| LARDIN, THOMAS | Agent | 500 SE 6 ST STE 200, FT LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, JAMES B. M.D. | President | 421 W LAKE DASHA DR., PLANTATION, FL 00000 |
| Name | Role | Address |
|---|---|---|
| LEVINE, NATHANIEL N. | Vice President | 321 JACARANDA DR., PLANTATION, FL |
| Name | Role | Address |
|---|---|---|
| LEVINE, NATHANIEL N. | Treasurer | 321 JACARANDA DR., PLANTATION, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1987-11-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
