| Entity Name: | NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jan 2009 (16 years ago) |
| Date of dissolution: | 05 Sep 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Sep 2018 (6 years ago) |
| Document Number: | L09000003223 |
| FEI/EIN Number | 453644772 |
| Address: | 120 W Woodruff Avenue, Crestview, FL, 32536, US |
| Mail Address: | PO BOX 1854, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043596091 | 2011-10-21 | 2014-01-11 | PO BOX 1854, CRESTVIEW, FL, 325367854, US | 120 W WOODRUFF AVE, CRESTVIEW, FL, 325363527, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-482-1830 |
Authorized person
| Name | PATRICIA ANN FLETCHER |
| Role | MGRM |
| Phone | 8504821830 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLETCHER PATRICIA | Agent | 122 Chapman St., Santa Rosa Beach, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| HOWARD-GONZALEZ DEANNA | Managing Member | 290 BRIAN CIRCLE, MARY ESTHER, FL, 32569 |
| FLETCHER PATRICIA | Managing Member | 122 Chapman St., Santa Rosa Beach, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-09-05 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-14 | 122 Chapman St., Santa Rosa Beach, FL 32459 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-08 | 120 W Woodruff Avenue, Crestview, FL 32536 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-16 | 120 W Woodruff Avenue, Crestview, FL 32536 | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-11-04 | NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2013-11-04 | FLETCHER, PATRICIA | No data |
| LC AMENDMENT | 2011-12-21 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2011-10-19 | NORTHWEST FLORIDA DIABETES AND METABOLIC CENTER, LLC | No data |
| REINSTATEMENT | 2011-08-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-09-05 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-04-08 |
| LC Amendment and Name Change | 2013-11-04 |
| ANNUAL REPORT | 2013-04-27 |
| ANNUAL REPORT | 2012-04-27 |
| LC Amendment | 2011-12-21 |
| LC Amendment and Name Change | 2011-10-19 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
