Entity Name: | YOUR FAMILY WALK-IN CLINIC LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Dec 2012 (12 years ago) |
Document Number: | L12000156659 |
FEI/EIN Number | 46-2642217 |
Address: | 17929 Hunting Bow Circle, LUTZ, FL, 33558, US |
Mail Address: | 17318 BRIDLEPATH CT, LUTZ, FL, 33558 |
ZIP code: | 33558 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316363161 | 2014-03-17 | 2015-09-24 | 17929 HUNTING BOW CIRCLE, SUITE 101, LUTZ, FL, 335588400, US | 17929 HUNTING BOW CIR, 101, LUTZ, FL, 335585378, US | |||||||||||||||||
|
Phone | +1 813-792-8555 |
Authorized person
Name | MRS. LISA ANNE BRUNTON COOLEY |
Role | CLINIC OWNER/ MANAGER |
Phone | 8137928555 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | 2776972 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRUNTON COOLEY LISA A | Agent | 17318 BRIDLEPATH CT, LUTZ, FL, 33558 |
Name | Role | Address |
---|---|---|
BRUNTON COOLEY LISA A | Manager | 17318 BRIDLEPATH CT, LUTZ, FL, 33558 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2014-01-13 | 17929 Hunting Bow Circle, suite 101, LUTZ, FL 33558 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-02 |
ANNUAL REPORT | 2023-04-07 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-02-06 |
ANNUAL REPORT | 2020-01-21 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-01-23 |
ANNUAL REPORT | 2017-02-09 |
ANNUAL REPORT | 2016-01-27 |
ANNUAL REPORT | 2015-01-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State