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WELLS FAMILY MEDICINE, PLLC

Company Details

Entity Name: WELLS FAMILY MEDICINE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 15 Jan 2009 (16 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: L09000005248
Address: 1717 NORTH E STREET, SUITE 532, PENSACOLA, FL, 32501
Mail Address: 1717 NORTH E STREET, SUITE 532, PENSACOLA, FL, 32501
ZIP code: 32501
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285872655 2009-01-23 2009-01-23 1717 N E ST, SUITE 532, PENSACOLA, FL, 325016339, US 1717 N E ST, SUITE 532, PENSACOLA, FL, 325016339, US

Contacts

Phone +1 850-434-5031
Fax 8504345541

Authorized person

Name DR. KELLI T WELLS
Role OWNER
Phone 8504345031

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
WELLS KELLI T Agent 1717 NORTH E STREET, PENSACOLA, FL, 32501

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
Florida Limited Liability 2009-01-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State