| Entity Name: | GULF COAST FAMILY CARE, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Mar 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L13000045115 |
| FEI/EIN Number | 371790310 |
| Address: | 814 PINE ISLAND ROAD, SUITE 306, CAPE CORAL, FL, 33991, US |
| Mail Address: | 814 PINE ISLAND ROAD, SUITE 306, CAPE CORAL, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750752424 | 2015-10-07 | 2015-10-07 | 814 SW PINE ISLAND RD, SUITE 306, CAPE CORAL, FL, 339911939, US | 814 SW PINE ISLAND RD, SUITE 306, CAPE CORAL, FL, 339911939, US | |||||||||||||||||||||||||||
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| Phone | +1 239-829-0280 |
| Fax | 2398290315 |
Authorized person
| Name | DEBORAH WALKER |
| Role | OWNER/NURSE PRACTITIONER |
| Phone | 2398290280 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ARNP 2617642 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP 2617642 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WALKER DEBORAH | Agent | 814 PINE ISLAND ROAD, SUITE 306, FORT MYERS, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| WALKER DEBORAH | Manager | 62 TIMBERLAND CIRCLE, S, FT. MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2015-08-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-19 | 814 PINE ISLAND ROAD, SUITE 306, CAPE CORAL, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2015-08-19 | 814 PINE ISLAND ROAD, SUITE 306, CAPE CORAL, FL 33991 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-19 | 814 PINE ISLAND ROAD, SUITE 306, FORT MYERS, FL 33991 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-02 |
| LC Amendment | 2015-08-19 |
| ANNUAL REPORT | 2015-04-18 |
| AMENDED ANNUAL REPORT | 2014-06-02 |
| ANNUAL REPORT | 2014-03-31 |
| Florida Limited Liability | 2013-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
