| Entity Name: | MOON FAMILY PRACTICE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2005 (20 years ago) |
| Document Number: | L05000066629 |
| FEI/EIN Number | 203114807 |
| Address: | 7448 DOC'S GROVE CIRCLE, 200, ORLANDO, FL, 32819, US |
| Mail Address: | 7448 Docs Grove Circle, suite 200, Orlando, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427310606 | 2012-06-13 | 2012-06-13 | 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA, 900771726, US | 7448 DOCS GROVE CIR, SUITE 200, ORLANDO, FL, 328198010, US | |||||||||||||||
|
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| Phone | +1 310-474-9809 |
| Phone | +1 407-352-1303 |
Authorized person
| Name | DR. MUSARRAT P. MOON |
| Role | PRESIDENT |
| Phone | 4073521303 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOON MUSARRAT P | Agent | 9125 SOUTHERN BREEZE DRIVE, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| MOON MUSARRAT | Trustee | 9125 SOUTHERN BREEZE DRIVE, ORLANDO, FL, 32836 |
| MOON MOHAMMED | Trustee | 9125 SOUTHERN BREEZE DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| The Musarrat Pasha Moon Irrevocable Trust | Managing Member | 7448 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 7448 DOC'S GROVE CIRCLE, 200, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-28 | 7448 DOC'S GROVE CIRCLE, 200, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
