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TALLAHASSEE FAMILY CLINIC, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DIAO CLYDE L Agent 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317

Managing Member

Name Role Address
GABOR CARMEN Managing Member 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317
DIAO CLYDE Managing Member 1307 WALDEN ROAD, TALLAHASSEE, FL, 32317

Events

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

Documents

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