Entity Name: | LA FAMILIA MEDICAL CLINIC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 06 Feb 2002 (23 years ago) |
Date of dissolution: | 22 Sep 2017 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (7 years ago) |
Document Number: | L02000002873 |
FEI/EIN Number | 020551916 |
Address: | 7625 SW 62ND CT, STE. 100, OCALA, FL, 34476 |
Mail Address: | 7625 SW 62ND CT, STE. 100, OCALA, FL, 34476 |
ZIP code: | 34476 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316964760 | 2006-07-15 | 2013-02-11 | 7625 SW 62ND CT, OCALA, FL, 344768322, US | 7625 SW 62ND CT, OCALA, FL, 344768322, US | |||||||||||||||||||
|
Phone | +1 352-237-8903 |
Fax | 3522378962 |
Authorized person
Name | DR. VITERBO A MARTINEZ |
Role | PRESIDENT |
Phone | 3522378903 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME75345 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARTINEZ VITERBO A | Agent | 7625 SW 62ND CT, OCALA, FL, 34476 |
Name | Role | Address |
---|---|---|
MARTINEZ VITERBO A | Manager | 7625 SW 62ND CRT, OCALA, FL, 34476 |
Name | Role | Address |
---|---|---|
MARTINEZ VITERBO A | President | 7625 SW 62ND CRT, OCALA, FL, 34476 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000120700 | LA FAMILIA MEDICAL CLINIC OF MARION COUNTY | EXPIRED | 2016-11-07 | 2021-12-31 | No data | 7625 SW 62ND COURT, SUITE 100, OCALA, FL, 34476 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-02-16 | 7625 SW 62ND CT, OCALA, FL 34476 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-02-18 | 7625 SW 62ND CT, STE. 100, OCALA, FL 34476 | No data |
CHANGE OF MAILING ADDRESS | 2008-02-18 | 7625 SW 62ND CT, STE. 100, OCALA, FL 34476 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2016-03-11 |
ANNUAL REPORT | 2015-03-13 |
ANNUAL REPORT | 2014-03-22 |
ANNUAL REPORT | 2013-03-22 |
ANNUAL REPORT | 2012-03-22 |
ANNUAL REPORT | 2011-01-04 |
ANNUAL REPORT | 2010-02-26 |
ANNUAL REPORT | 2009-02-16 |
ANNUAL REPORT | 2008-02-18 |
ANNUAL REPORT | 2007-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State