| Entity Name: | MIDWIVES COOPERATIVE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jan 2013 (12 years ago) |
| Document Number: | L13000000329 |
| FEI/EIN Number | 462011508 |
| Address: | 5310 NW 8th Ave, Suite 1, GAINESVILLE, FL, 32605, US |
| Mail Address: | 5310 NW 8th Ave, Suite 1, GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770910721 | 2013-10-07 | 2024-07-22 | 5310 NW 8TH AVE STE 1, GAINESVILLE, FL, 326054468, US | 5310 NW 8TH AVE STE 1, GAINESVILLE, FL, 326054468, US | |||||||||||||||||||||||
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| Phone | +1 352-377-3879 |
| Fax | 3524780175 |
| Fax | 3864629021 |
Authorized person
| Name | ABIGAIL OWENS-REICHARDT |
| Role | OWNER, LICENSED MIDWIFE |
| Phone | 3523773879 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121972500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Audette Kerri | Agent | 521 NE 1st Street Suite B, GAINESVILLE, FL, 32601 |
| Name | Role | Address |
|---|---|---|
| Owens-Reichardt Abigail | Managing Member | 521 NE 1st Street Suite B, GAINESVILLE, FL, 32601 |
| Name | Role | Address |
|---|---|---|
| AUDETTE KERRI | Auth | 3820 NW 10TH PLACE, GAINSVILLE, FL, 32605 |
| REICHARDT ABIGAIL | Auth | 1018 NW 39TH DRIVE, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-15 | 5310 NW 8th Ave, Suite 1, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-15 | 5310 NW 8th Ave, Suite 1, GAINESVILLE, FL 32605 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-09 | Audette, Kerri | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-09 | 521 NE 1st Street Suite B, GAINESVILLE, FL 32601 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| AMENDED ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2023-01-13 |
| AMENDED ANNUAL REPORT | 2022-07-05 |
| ANNUAL REPORT | 2022-04-28 |
| AMENDED ANNUAL REPORT | 2021-08-13 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-05-13 |
| ANNUAL REPORT | 2018-03-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
