| Entity Name: | BENGSTON FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BENGSTON FAMILY PRACTICE 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. |
| 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: | 01 Mar 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L12000029709 |
| Address: | 870 W. HICKPOCHEE AVE., SUITE 1700, LABELLE, FL, 33935, US |
| Mail Address: | 870 W. HICKPOCHEE AVE., SUITE 1700, LABELLE, FL, 33935, US |
| ZIP code: | 33935 |
| County: | Hendry |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003180381 | 2012-03-03 | 2012-03-07 | 870 W HICKPOCHEE AVE, SSUITE 1700, LABELLE, FL, 339354313, US | 870 W HICKPOCHEE AVE, SSUITE 1700, LABELLE, FL, 339354313, US | |||||||||||||||||||||||||
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| Phone | +1 863-675-0550 |
| Fax | 8636750553 |
Authorized person
| Name | EVELYN SUSANNE BENGSTON |
| Role | ARNP |
| Phone | 8636750550 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP2209102 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 302076200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENGSTON EVELYN S | Managing Member | 870 W. HICKPOCHEE AVE. STE 1700, LABELLE, FL, 33935 |
| BENGSTON EVELYN S | Agent | 870 W. HICKPOCHEE AVE., LABELLE, FL, 33935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2012-03-01 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
