| Entity Name: | FAMILY MEDICINE SPECIALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jun 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L04000044425 |
| FEI/EIN Number | 201260394 |
| Address: | 7978 COOPER CREEK BLVD., SUITE 210, BRADENTON, FL, 34201 |
| Mail Address: | 13369 PURPLE FINCH CIRCLE, BRADENTON, FL, 34202 |
| ZIP code: | 34201 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376508739 | 2006-04-19 | 2020-08-22 | 7978 COOPER CREEK BLVD, SUITE 210, UNIVERSITY PARK, FL, 342012141, US | 7978 COOPER CREEK BLVD, SUITE 210, UNIVERSITY PARK, FL, 342012141, US | |||||||||||||||
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| Phone | +1 941-359-9255 |
| Fax | 9413511504 |
Authorized person
| Name | DR. MICHAEL BENTZE |
| Role | OWNER |
| Phone | 9413599255 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLALOCK, WALTERS, HELD & JOHNSON, P.A. | Agent | 802 11TH STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| BENTZE MICHAEL | Managing Member | 13369 PURPLE FINCH CIRCLE, BRADENTON, FL, 34202 |
| BENTZE NICOLE | Managing Member | 13369 PURPLE FINCH CIRCLE, BRADENTON, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-05 | 7978 COOPER CREEK BLVD., SUITE 210, BRADENTON, FL 34201 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-09-03 | 7978 COOPER CREEK BLVD., SUITE 210, BRADENTON, FL 34201 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-31 |
| ANNUAL REPORT | 2008-04-21 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-04-03 |
| ANNUAL REPORT | 2005-03-07 |
| Florida Limited Liabilites | 2004-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
