| Entity Name: | DR PAT AND ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jan 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L08000006910 |
| FEI/EIN Number | 261734175 |
| Address: | 1706 RIGGINS RD, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1706 RIGGINS RD, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215117312 | 2007-11-07 | 2015-10-27 | 1706 RIGGINS RD, TALLAHASSEE, FL, 323085318, US | 1706 RIGGINS RD, TALLAHASSEE, FL, 323085318, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-878-4823 |
| Fax | 8508784893 |
Authorized person
| Name | DR. FILEMON R PATACXIL |
| Role | OWNER |
| Phone | 8508784823 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0060386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 00A5E |
| Issuer | MEDICAID |
| Number | 280607000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATACXIL FILEMON R | Agent | 1773 SOUTH HILL N' DALE DR, TALLAHASSEE, FL, 32317 |
| Name | Role | Address |
|---|---|---|
| PATACXIL FILEMON R | Chief Executive Officer | 1773 SOUTH HILL N' DALE DR, TALLAHASSEE, FL, 32317 |
| Name | Role | Address |
|---|---|---|
| SALAS JEANITA D | Manager | 2112 MULBERRY BLVD, TALLAHASSEE, FL, 32303 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-04-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-23 | PATACXIL, FILEMON RMD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-12 | 1706 RIGGINS RD, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-09 |
| REINSTATEMENT | 2018-04-23 |
| ANNUAL REPORT | 2013-07-16 |
| ANNUAL REPORT | 2012-04-01 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-01-12 |
| ANNUAL REPORT | 2009-01-15 |
| Florida Limited Liability | 2008-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
