| Entity Name: | FLORIDA PRACTICE & BENEFITS GROUP MANAGEMENT, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Jan 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L12000005145 |
| FEI/EIN Number | 45-4228937 |
| Address: | 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174 |
| Mail Address: | 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295174589 | 2013-06-19 | 2013-06-19 | 30 WINDING CREEK WAY, ORMOND BEACH, FL, 321746773, US | 30 WINDING CREEK WAY, ORMOND BEACH, FL, 321746773, US | |||||||||||||
|
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| Phone | +1 386-316-0482 |
Authorized person
| Name | MS. CAROLINE DIANE BOYD |
| Role | PRES/MANAGING MEMBER |
| Phone | 3863160482 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STOCKHAMMER, STANLEY FJR | Agent | 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| BOYD, CAROLINE D | President | 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| BOYD, CAROLINE D | Managing Member | 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-26 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-10 |
| Florida Limited Liability | 2012-01-11 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
