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DESTIN PRIMARY CARE CENTER, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
STEPHENS JEFF Agent 4507 FURLING LANE, DESTIN, FL, 32541

Managing Member

Name Role Address
WEBB DAVID Managing Member 36008 EMERALD COAST PARKWAY, SUITE A-102, DESTIN, FL, 32541

Events

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

Documents

Name Date
REINSTATEMENT 2008-11-13
Florida Limited Liability 2007-07-18

Date of last update: 03 Feb 2025

Sources: Florida Department of State