| Entity Name: | BANUELOS FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BANUELOS FAMILY MEDICINE, 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: | 05 Nov 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L12000139763 |
| FEI/EIN Number |
46-1332156
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6061 Doctors Park Rd, MILTON, FL, 32570, US |
| Mail Address: | 6061 Doctors Park Rd, Milton, FL, 32570, US |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124366299 | 2013-01-24 | 2013-01-24 | 6061 DOCTORS PARK, MILTON, FL, 325705073, US | 6061 DOCTORS PARK, MILTON, FL, 325705073, US | |||||||||||||||||||
|
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| Phone | +1 850-983-8500 |
| Fax | 8509830009 |
Authorized person
| Name | DR. ELIAS IGNACIO BANUELOS |
| Role | CEO |
| Phone | 8509838500 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME97139 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BANUELOS ELIAS I | Manager | 3929 High Bridge Dr, Pace, FL, 32571 |
| BANUELOS ELIAS I | Agent | 6061 Doctors Park Rd, MILTON, FL, 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-28 | 6061 Doctors Park Rd, MILTON, FL 32570 | - |
| CHANGE OF MAILING ADDRESS | 2015-02-28 | 6061 Doctors Park Rd, MILTON, FL 32570 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-28 | 6061 Doctors Park Rd, MILTON, FL 32570 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-02-28 |
| ANNUAL REPORT | 2014-03-06 |
| Florida Limited Liability | 2012-11-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
