| Entity Name: | HERNANDO FAMILY PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Jan 2007 (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: | L07000001580 |
| FEI/EIN Number | 208162955 |
| Address: | 2955 SE 3RD COURT, OCALA, FL, 34471 |
| Mail Address: | P.O. BOX 4590, OCALA, FL, 34478, 45 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750582359 | 2007-05-30 | 2020-08-22 | 10507 SPRING HILL DRIVE, SPRING HILL, FL, 34608, US | 10507 SPRING HILL DR, SPRING HILL, FL, 346085047, US | |||||||||||||||||||
|
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| Phone | +1 352-688-0401 |
| Fax | 3526880404 |
Authorized person
| Name | MR. WILLIAM EMERSON |
| Role | COO |
| Phone | 3526227000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DEVAIAH PAGIDIPATI | Agent | 2955 SE 3RD COURT, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| PAGIDIPATI RUDRAMA | Managing Member | 1321 SW 42ND STREET, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-22 | 2955 SE 3RD COURT, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-22 | DEVAIAH, PAGIDIPATI | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-22 | 2955 SE 3RD COURT, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-30 |
| Florida Limited Liability | 2007-01-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
