| Entity Name: | GRANDIN FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRANDIN FAMILY PRACTICE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 09 May 2007 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L07000049144 |
| FEI/EIN Number |
260140870
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1326 STATE ROAD 100, MELROSE, FL, 32666, US |
| Mail Address: | 1326 STATE ROAD 100, MELROSE, FL, 32666, US |
| ZIP code: | 32666 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902098296 | 2007-08-10 | 2007-08-10 | PO BOX 380129, GRANDIN, FL, 321380129, US | 1326 SR 100, GRANDIN, FL, 321380129, US | |||||||||||||||||||||||||
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| Phone | +1 386-659-2104 |
| Fax | 3866592196 |
Authorized person
| Name | ANITA LENAS |
| Role | OWNER/OPERATOR |
| Phone | 3866592104 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 0065809 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 00485 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LENAS ANITA L | Manager | 209 BLOSSOM DRIVE, INTERLACHEN, FL, 32148 |
| Suarez Stacy | Secretary | 1326 State Road 100, MELROSE, FL, 32666 |
| LENAS ANITA L | Agent | 209 BLOSSOM DRIVE, INTERLACHEN, FL, 32148 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-05 | 1326 STATE ROAD 100, MELROSE, FL 32666 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-05 | 1326 STATE ROAD 100, MELROSE, FL 32666 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-01-27 |
| ANNUAL REPORT | 2013-03-06 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-04 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
