| Entity Name: | WILSON FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WILSON FAMILY MEDICINE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Apr 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 11 Mar 2005 (20 years ago) |
| Document Number: | L02000010149 |
| FEI/EIN Number |
743041128
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2621 MITCHAM DR., UNIT 103, TALLAHASSEE, FL, 32308 |
| Mail Address: | 2621 MITCHAM DR., UNIT 103, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588601421 | 2006-05-31 | 2008-09-30 | 2621 MITCHAM DRIVE, UNIT 103, TALLAHASSEE, FL, 323085307, US | 2621 MITCHAM DR, UNIT 103, TALLAHASSEE, FL, 323085480, US | |||||||||||||||||||
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| Phone | +1 850-219-2273 |
| Fax | 8502012410 |
Authorized person
| Name | DR. VICARI SUSAN ERWIN-WILSON |
| Role | BUSSINESS OWNER/MD |
| Phone | 8502192273 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 800017593 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON LES DMD | Managing Member | 2621 MITCHAN DR. #103, TALLAHASSEE, FL, 32308 |
| ERWIN-WILSON VICKI M | Managing Member | 2621 MITCHAM DR. #103, TALLAHASSEE, FL, 32308 |
| WILSON LES DMD | Agent | 2621 MITCHAM DR., TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-23 | WILSON, LES D, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-24 | 2621 MITCHAM DR., 103, TALLAHASSEE, FL 32308 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-14 | 2621 MITCHAM DR., UNIT 103, TALLAHASSEE, FL 32308 | - |
| CHANGE OF MAILING ADDRESS | 2008-03-14 | 2621 MITCHAM DR., UNIT 103, TALLAHASSEE, FL 32308 | - |
| CANCEL ADM DISS/REV | 2005-03-11 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-31 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5271945007 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9709707709 | 2020-05-01 | 0491 | PPP | 2621 Mitcham Drive, Tallahassee, FL, 32308 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 May 2025
Sources: Florida Department of State
