Entity Name: | MEDFAST FAMILY PHYSICIANS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 19 Feb 2008 (17 years ago) |
Date of dissolution: | 21 Mar 2017 (8 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 21 Mar 2017 (8 years ago) |
Document Number: | L08000017782 |
FEI/EIN Number | 261997426 |
Address: | 125 E MERRITT ISLAND CSWY, 107 #342, MERRITT ISLAND, FL, 32952, US |
Mail Address: | 125 E MERRITT ISLAND CSWY, 107 #342, MERRITT ISLAND, FL, 32952, US |
ZIP code: | 32952 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174792048 | 2008-02-26 | 2008-10-24 | 7970 N WICKHAM RD, SUITE #101, MELBOURNE, FL, 329408299, US | 7970 N WICKHAM RD, SUITE #101, MELBOURNE, FL, 329408299, US | |||||||||||||||||||
|
Phone | +1 321-751-7222 |
Fax | 3217516655 |
Authorized person
Name | DR. DAVID T. WILLIAMS |
Role | MANAGING MEMBER |
Phone | 3217517222 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | OS4050 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
REGIONAL EMERGENCY MEDICINE SPECIALIST INC | Agent | 125 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 32952 |
Name | Role | Address |
---|---|---|
REGIONAL EMERGENCY MEDICINE SPECIALIST INC | Managing Member | 125 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 32952 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2017-03-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-04-07 | 125 E MERRITT ISLAND CSWY, 107 #342, MERRITT ISLAND, FL 32952 | No data |
CHANGE OF MAILING ADDRESS | 2015-04-07 | 125 E MERRITT ISLAND CSWY, 107 #342, MERRITT ISLAND, FL 32952 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-04-07 | 125 E MERRITT ISLAND CSWY, 107 #342, MERRITT ISLAND, FL 32952 | No data |
LC AMENDMENT | 2008-05-05 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2017-03-21 |
ANNUAL REPORT | 2016-03-23 |
AMENDED ANNUAL REPORT | 2015-04-07 |
ANNUAL REPORT | 2015-01-26 |
ANNUAL REPORT | 2014-01-11 |
ANNUAL REPORT | 2013-02-06 |
ANNUAL REPORT | 2012-01-14 |
ANNUAL REPORT | 2011-03-22 |
ANNUAL REPORT | 2010-04-22 |
ANNUAL REPORT | 2009-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State