| Entity Name: | FABEN OBSTETRICS AND GYNECOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2010 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Dec 2023 (a year ago) |
| Document Number: | L10000098130 |
| FEI/EIN Number | 27-3900324 |
| Address: | Suite 500 4010 W. Boy Scout Blvd, Tampa, FL, 33607, US |
| Mail Address: | Suite 500 4010 W. Boy Scout Blvd, Tampa, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902475569 | 2021-06-18 | 2021-06-18 | PO BOX 9100, BELFAST, ME, 049159100, US | 4181 SOUTHPOINT DR E STE 300, JACKSONVILLE, FL, 322168083, US | |||||||||||||||||||
|
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| Phone | +1 561-300-2410 |
| Fax | 5612357292 |
| Phone | +1 904-346-0050 |
| Fax | 9043460080 |
Authorized person
| Name | ERICA HERNANDEZ |
| Role | MANAGER |
| Phone | 5613002410 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| FLORIDA WOMAN CARE, LLC | Auth | No data |
| Wright Brian | Auth | Suite 500 4010 W. Boy Scout Blvd, Tampa, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | Suite 500 4010 W. Boy Scout Blvd, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-09 | Suite 500 4010 W. Boy Scout Blvd, Tampa, FL 33607 | No data |
| LC STMNT OF RA/RO CHG | 2023-12-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-13 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-13 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-22 |
| AMENDED ANNUAL REPORT | 2020-09-23 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
