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YOUR FAMILY WALK-IN CLINIC LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BRUNTON COOLEY LISA A Agent 17318 BRIDLEPATH CT, LUTZ, FL, 33558

Manager

Name Role Address
BRUNTON COOLEY LISA A Manager 17318 BRIDLEPATH CT, LUTZ, FL, 33558

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-01-13 17929 Hunting Bow Circle, suite 101, LUTZ, FL 33558 No data

Documents

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