| Entity Name: | HUGHES FAMILY PRACTICE PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Dec 2010 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L11000000015 |
| FEI/EIN Number | 274426183 |
| Address: | 13731 METROPOLIS AVE, FORT MYERS, FL, 33912 |
| Mail Address: | PO BOX 449, ESTERO, FL, 33929 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386940757 | 2011-02-02 | 2023-06-27 | PO BOX 449, ESTERO, FL, 339290449, US | 13731 METROPOLIS AVE, FORT MYERS, FL, 339127150, US | |||||||||||||||||||||||||
|
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| Phone | +1 239-561-5776 |
| Fax | 2393331953 |
Authorized person
| Name | DOUGLAS STEPHEN HUGHES |
| Role | PRESIDENT |
| Phone | 2395615776 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS9442 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF FL |
| Number | 04014 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KYLE KEVIN A | Agent | 1380 ROYAL PALM SQUARE BLVD., FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| HUGHES DOUGLAS S | Manager | 21469 Bella Terra Blvd, Estero, FL, 33928 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000012895 | HUGHES FAMILY PRACTICE | EXPIRED | 2011-02-02 | 2016-12-31 | No data | P.O. BOX 449, ESTERO, FL, 33929 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2012-10-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-10-24 | 13731 METROPOLIS AVE, FORT MYERS, FL 33912 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| LC RESTATED ARTICLE AND NAME CHANGE | 2011-01-25 | HUGHES FAMILY PRACTICE PL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-02-29 |
| ANNUAL REPORT | 2015-03-25 |
| ANNUAL REPORT | 2014-01-06 |
| ANNUAL REPORT | 2013-04-25 |
| REINSTATEMENT | 2012-10-24 |
| LC Restated Articles and NC | 2011-01-25 |
| Florida Limited Liability | 2010-12-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
