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FAMILY PRACTICE, DR. ASSEFA, LLC - Florida Company Profile

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Company Details

Entity Name: FAMILY PRACTICE, DR. ASSEFA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FAMILY PRACTICE, DR. ASSEFA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Jan 2011 (14 years ago)
Date of dissolution: 28 Feb 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Feb 2022 (3 years ago)
Document Number: L11000009358
FEI/EIN Number 274981290

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6100 ST. JOHNS AVENUE, SUITE 4, PALATKA, FL, 32177, US
Mail Address: P.O. BOX 2627, PALATKA, FL, 32178, US
ZIP code: 32177
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PACANOWSKA-ASSEFA IRENA M Managing Member 6100 ST. JOHNS AVENUE, SUITE 4, PALATKA, FL, 32177
Assefa Girma Dr. Manager P.O. BOX 1426, PALATKA, FL, 32178
MOULTON CLAUDE R Agent 1354 N. LAURA STREET, JACKSONVILLE, FL, 32206

National Provider Identifier

NPI Number:
1083913842

Authorized Person:

Name:
DR. IRENA MARIA ASSEFA
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3863298990

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-28 - -
CHANGE OF MAILING ADDRESS 2019-02-05 6100 ST. JOHNS AVENUE, SUITE 4, PALATKA, FL 32177 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14001178747 LAPSED 1000000645175 PALM BEACH 2014-10-29 2024-12-17 $ 1,911.27 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J14000736289 ACTIVE 1000000626483 PALM BEACH 2014-05-21 2034-06-17 $ 895.95 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123
J14000836881 ACTIVE 1000000611322 PALM BEACH 2014-04-30 2034-08-01 $ 925.36 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123
J14000302074 ACTIVE 1000000585120 PALM BEACH 2014-03-05 2034-03-13 $ 802.69 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100
J14000299114 ACTIVE 1000000581551 PALM BEACH 2014-02-19 2034-03-13 $ 790.33 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100
J13000945015 ACTIVE 1000000482775 PALM BEACH 2013-04-17 2033-05-22 $ 876.55 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-28
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-03-14
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-01-20
ANNUAL REPORT 2013-01-16

USAspending Awards / Financial Assistance

Date:
2020-07-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
40102.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Jun 2025

Sources: Florida Department of State