| Entity Name: | OUR FAMILY DOCTORS, P.L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 May 2001 (24 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L01000008653 |
| FEI/EIN Number | 593726208 |
| Mail Address: | 1058 Roundstone Place, Palm Harbor, FL, 34683, US |
| Address: | 1058 Roundstone Place, Palm Harbor, 34683, UN |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154417350 | 2006-10-05 | 2010-09-08 | 10225 ULMERTON RD, SUITE 1B, LARGO, FL, 337713538, US | 10225 ULMERTON RD, SUITE 1B, LARGO, FL, 337713538, US | |||||||||||||||||||||||||
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| Phone | +1 727-581-4849 |
| Fax | 7275847429 |
Authorized person
| Name | DR. JAMES KINNEY |
| Role | OWNER |
| Phone | 7275814849 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CJ5585 |
| Issuer | MEDICAID |
| Number | 266502600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KINNEY MARY L | Agent | 1058 Roundstone Place, Palm Harbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| Kinney James RSr. | Manager | 1058 Roundstone Place, Palm Harbor, 34683 |
| KINNEY Mary L | Manager | 1058 Roundstone Place, Palm Harbor, 34683 |
| Name | Role | Address |
|---|---|---|
| KINNEY MARY L | Chief Financial Officer | 1058 Roundstone Place, Palm Harbor, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-08 | 1058 Roundstone Place, Palm Harbor 34683 UN | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-08 | 1058 Roundstone Place, Palm Harbor 34683 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-08 | 1058 Roundstone Place, Palm Harbor, FL 34683 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-23 | KINNEY, MARY LINDA | No data |
| LC AMENDMENT | 2008-06-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-05-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
