| Entity Name: | STORY FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Apr 2012 (13 years ago) |
| Document Number: | L12000049526 |
| FEI/EIN Number | 45-4899964 |
| Address: | 9048 FALCON COURT, VENICE, FL, 34293 |
| Mail Address: | 9048 FALCON COURT, VENICE, FL, 34293, US |
| ZIP code: | 34293 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821358607 | 2012-05-25 | 2012-05-25 | 9048 FALCON CT, VENICE, FL, 342937631, US | 17912 TOLEDO BLADE BLVD, STE A, PORT CHARLOTTE, FL, 339481042, US | |||||||||||||||||||||||
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| Phone | +1 941-766-1900 |
| Fax | 9417661902 |
| Phone | +1 941-766-1001 |
| Fax | 9417661830 |
Authorized person
| Name | DR. CURTIS E STORY |
| Role | OWNER |
| Phone | 9417661900 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME106893 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STORY CURTIS MDr. | Agent | 9048 FALCON COURT, VENICE, FL, 34293 |
| Name | Role | Address |
|---|---|---|
| STORY CURTIS EDr. | Auth | 9048 FALCON COURT, VENICE, FL, 34293 |
| Name | Role | Address |
|---|---|---|
| Story Rebekah D | Manager | 17912 Toledo Blade Blvd, PORT CHARLOTTE, FL, 33948 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-07-25 | STORY, CURTIS M.D., Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-19 | 9048 FALCON COURT, VENICE, FL 34293 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-08 |
| AMENDED ANNUAL REPORT | 2018-07-25 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
