| Entity Name: | DUNLAWTON FAMILY MEDICINE, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Aug 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2021 (3 years ago) |
| Document Number: | L00000010423 |
| FEI/EIN Number | 593667262 |
| Address: | 790 DUNLAWTON AVENUE, SUITE D, PORT ORANGE, FL, 32127, US |
| Mail Address: | 790 DUNLAWTON AVENUE, SUITE D, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629061767 | 2005-08-24 | 2012-06-20 | 790 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 321274222, US | 790 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 321274222, US | |||||||||||||||
|
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| Phone | +1 386-760-1877 |
| Fax | 3867602791 |
Authorized person
| Name | DR. MARK DAVID KENDRICK |
| Role | PRESIDENT |
| Phone | 3867601877 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KENDRICK MARK DMD | Agent | 790 DUNLAWTON AVENUE, PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| KENDRICK MARK M | Managing Member | 790 DUNLAWTON AVENUE SUITE D, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2027-07-31 | 790 DUNLAWTON AVENUE, SUITE D, PORT ORANGE, FL 32127 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2027-07-31 | 790 DUNLAWTON AVENUE, SUITE D, PORT ORANGE, FL 32127 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-27 | KENDRICK, MARK D., MD | No data |
| REINSTATEMENT | 2021-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2017-07-31 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-07-25 | 790 DUNLAWTON AVENUE, SUITE D, PORT ORANGE, FL 32127 | No data |
| REINSTATEMENT | 2001-12-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-15 |
| REINSTATEMENT | 2021-09-27 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-13 |
| LC Amendment | 2017-07-31 |
| ANNUAL REPORT | 2017-07-25 |
| ANNUAL REPORT | 2016-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
