| Entity Name: | FAMILY PRACTICE ASSOCIATES OF RIVERVIEW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Dec 2006 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L06000116282 |
| FEI/EIN Number | 020793508 |
| Address: | 11353 BIG BEN ROAD, RIVERVIEW, FL, 33579, US |
| Mail Address: | 11353 BIG BEN ROAD, RIVERVIEW, FL, 33579, US |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821209958 | 2007-05-24 | 2008-03-28 | 11347 BIG BEND RD, RIVERVIEW, FL, 335695835, US | 11347 BIG BEND RD, RIVERVIEW, FL, 335697183, US | |||||||||||||||||||
|
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| Phone | +1 813-236-4100 |
| Fax | 8132344800 |
Authorized person
| Name | JEAN M. H AUGUSTIN |
| Role | PRESIDENT |
| Phone | 8132364100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME90823 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN JEAN MAX HERVE | Agent | 5619 LARK MEADOW PLACE, LITHIA, FL, 33547 |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN JEAN MAX HERVE | Managing Member | 5619 LARK MEADOW PLACE, LITHIA, FL, 33547 |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN-VOIGT JOSEE | Manager | 5619 LARK MEADOW PLACE, LITHIA, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-04-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-12 | 11353 BIG BEN ROAD, RIVERVIEW, FL 33579 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-12 | 11353 BIG BEN ROAD, RIVERVIEW, FL 33579 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-04-12 |
| REINSTATEMENT | 2009-10-10 |
| REINSTATEMENT | 2008-10-16 |
| Florida Limited Liability | 2006-12-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
