Entity Name: | DESTIN PRIMARY CARE CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 18 Jul 2007 (18 years ago) |
Date of dissolution: | 25 Sep 2009 (15 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2009 (15 years ago) |
Document Number: | L07000074269 |
FEI/EIN Number | 202250247 |
Address: | 36008 EMERALD COAST PARKWAY, SUITE A-102, DESTIN, FL, 32541 |
Mail Address: | 36008 EMERALD COAST PARKWAY, SUITE A-102, DESTIN, FL, 32541 |
ZIP code: | 32541 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649425877 | 2008-12-02 | 2008-12-02 | 36008 EMERALD COAST PKWY, SUITE A-102, DESTIN, FL, 325414792, US | 36008 EMERALD COAST PKWY, SUITE A-102, DESTIN, FL, 325414792, US | |||||||||||||||||||
|
Phone | +1 850-654-0997 |
Fax | 8506542631 |
Authorized person
Name | DR. DAVID WILLIS WEBB |
Role | OWNER |
Phone | 8506540997 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | MEOO16608 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
STEPHENS JEFF | Agent | 4507 FURLING LANE, DESTIN, FL, 32541 |
Name | Role | Address |
---|---|---|
WEBB DAVID | Managing Member | 36008 EMERALD COAST PARKWAY, SUITE A-102, DESTIN, FL, 32541 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
CANCEL ADM DISS/REV | 2008-11-13 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2008-11-13 |
Florida Limited Liability | 2007-07-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State