Entity Name: | TALLAHASSEE FAMILY CLINIC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 14 Jan 2008 (17 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | L08000004148 |
FEI/EIN Number | 261734244 |
Address: | 1706 RIGGINS ROAD, TALLAHASSEE, FL, 32308, US |
Mail Address: | 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317, US |
ZIP code: | 32308 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720264419 | 2008-01-13 | 2008-04-14 | 1307 WALDEN RD, TALLAHASSEE, FL, 323178201, US | 1706 RIGGINS RD, TALLAHASSEE, FL, 323085318, US | |||||||||||||||||||
|
Phone | +1 850-878-4823 |
Fax | 8508784893 |
Authorized person
Name | CARMEN L. GABOR |
Role | MANAGER |
Phone | 8503396227 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
License Number | 3080922 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DIAO CLYDE L | Agent | 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317 |
Name | Role | Address |
---|---|---|
GABOR CARMEN | Managing Member | 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317 |
DIAO CLYDE | Managing Member | 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF MAILING ADDRESS | 2009-04-30 | 1706 RIGGINS ROAD, TALLAHASSEE, FL 32308 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-04-30 | 1307 WALDEN ROAD, TALLAHASSEE, FL 32317 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2009-04-30 |
Florida Limited Liability | 2008-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State