| Entity Name: | FIVE POINTS FAMILY PRACTICE , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Aug 2004 (20 years ago) |
| Date of dissolution: | 06 Feb 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Feb 2017 (8 years ago) |
| Document Number: | L04000060972 |
| FEI/EIN Number | 201494002 |
| Address: | 901 SCENIC HWY, PENSACOLA, FL, 32503, US |
| Mail Address: | 5410 Southlake Drive, Pace, FL, 32571, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154306157 | 2005-12-13 | 2007-10-12 | 5607 WOODBINE RD, PACE, FL, 325718769, US | 5607 WOODBINE RD, PACE, FL, 325718769, US | |||||||||||||||||||||
|
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| Phone | +1 850-995-0125 |
| Fax | 8509950465 |
Authorized person
| Name | ANGELI D. SAITH |
| Role | OWNER |
| Phone | 8509950125 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HEALTH FIRST NETWORK |
| Number | 1039 |
| State | FL |
| Name | Role |
|---|---|
| FIVE POINTS FAMILY PRACTICE , LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DAYAL GLENN | Manager | 5410 Southlake Drive, PACE, FL, 32571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-02-06 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-16 | 5410 Southlake Drive, PACE, FL 32571 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-28 | 901 SCENIC HWY, PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-21 | FIVE POINTS FAMILY PRACTICE LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-06-01 | 901 SCENIC HWY, PENSACOLA, FL 32503 | No data |
| LC REVOCATION OF DISSOLUTION | 2012-02-22 | No data | No data |
| VOLUNTARY DISSOLUTION | 2012-02-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-02-16 |
| ANNUAL REPORT | 2014-02-28 |
| ANNUAL REPORT | 2013-03-21 |
| Limited Liab AR | 2012-02-22 |
| LC Revocation of Dissolution | 2012-02-22 |
| VOLUNTARY DISSOLUTION | 2012-02-08 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-02-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
