| Entity Name: | MIRAMAR FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Feb 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000023717 |
| Address: | 622 MOUNTAIN DRIVE, DESTIN, 32541 |
| Mail Address: | 622 MOUNTAIN DRIVE, DESTIN, 32541 |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801137054 | 2013-03-13 | 2013-03-13 | 622 MOUNTAIN DR, DESTIN, FL, 325412429, US | 622 MOUNTAIN DR, DESTIN, FL, 325412429, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-830-3012 |
Authorized person
| Name | DR. RICHARD CHERN |
| Role | MANAGING MEMBER |
| Phone | 8508303012 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHERN RICHARD | Agent | 622 MOUNTAIN DRIVE, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| CHERN RICHARD | Managing Member | 622 MOUNTAIN DRIVE, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2013-02-22 | MIRAMAR FAMILY PRACTICE LLC | No data |
| Name | Date |
|---|---|
| LC Article of Correction/NC | 2013-02-22 |
| Florida Limited Liability | 2013-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
