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MEDFAST FAMILY PHYSICIANS, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
REGIONAL EMERGENCY MEDICINE SPECIALIST INC Agent 125 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 32952

Managing Member

Name Role Address
REGIONAL EMERGENCY MEDICINE SPECIALIST INC Managing Member 125 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 32952

Events

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

Documents

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