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FAMILY PRACTICE ASSOCIATES OF ORANGE PARK, P.A. - Florida Company Profile

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Company Details

Entity Name: FAMILY PRACTICE ASSOCIATES OF ORANGE PARK, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Jun 1983 (42 years ago)
Date of dissolution: 23 Sep 2011 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (14 years ago)
Document Number: G42690
FEI/EIN Number 592295934
Address: 1594 KINGSLEY AVENUE, ORANGE PARK, FL, 32073
Mail Address: 1594 KINGSLEY AVENUE, ORANGE PARK, FL, 32073
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BULTMAN RICHARD J Officer 1594 KINGSLEY AVE., ORANGE PARK, FL, 32073
BULTMAN, RICHARD J. Agent 1594 KINGSLEY AVE., ORANGE PARK, FL, 32073
KUHN MARIANNE Secretary 1594 KINGSLEY AVE., ORANGE PARK, FL, 32073
SESSIONS WILLIAM H Owner 1594 KINGSLEY AVE, ORANGE PARK, FL, 32073
SESSIONS WILLIAM H President 1594 KINGSLEY AVE, ORANGE PARK, FL, 32073
KHADOUR LUNA I Officer 1594 KINGSLEY AVE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1801895669

Authorized Person:

Name:
SUZANNE M RYAN
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
NAME CHANGE AMENDMENT 1991-10-17 FAMILY PRACTICE ASSOCIATES OF ORANGE PARK, P.A. -
NAME CHANGE AMENDMENT 1987-01-12 DOCTOR'S BULTMAN, SESSIONS, BIGGERSTAFF: FAMILY PRACTICE ASSOCIATES OF ORANGE PARK, P.A. -
EVENT CONVERTED TO NOTES 1986-12-31 - -
REGISTERED AGENT NAME CHANGED 1986-04-11 BULTMAN, RICHARD J. -
REGISTERED AGENT ADDRESS CHANGED 1986-04-11 1594 KINGSLEY AVE., ORANGE PARK, FL 32073 -
NAME CHANGE AMENDMENT 1985-06-21 DOCTOR'S BULTMAN, SESSIONS AND WILSON: FAMILY PRACTICE ASSOCIATES OF ORANGE PARK, P.A. -
CHANGE OF PRINCIPAL ADDRESS 1985-05-06 1594 KINGSLEY AVENUE, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 1985-05-06 1594 KINGSLEY AVENUE, ORANGE PARK, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-04-14
ANNUAL REPORT 2008-01-14
ANNUAL REPORT 2007-01-05
ANNUAL REPORT 2006-01-03
ANNUAL REPORT 2005-01-24
ANNUAL REPORT 2004-04-06
ANNUAL REPORT 2003-01-21
ANNUAL REPORT 2002-02-07
ANNUAL REPORT 2001-01-31

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Date of last update: 01 Jul 2025

Sources: Florida Department of State