| Entity Name: | CORNERSTONE FAMILY MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jul 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Dec 2020 (4 years ago) |
| Document Number: | L13000103099 |
| FEI/EIN Number | 46-3126223 |
| Address: | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 |
| Mail Address: | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437590536 | 2013-07-17 | 2021-08-12 | 9310 OLD KINGS RD S STE 1303, JACKSONVILLE, FL, 322578100, US | 9310 OLD KINGS RD SOUTH, UNIT 1303, JACKSONVILLE, FL, 322573225, US | |||||||||||||||||||
|
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| Phone | +1 904-900-3472 |
| Fax | 9045032373 |
Authorized person
| Name | DR. ANABEL CARLOTO CASTRO |
| Role | PHYSICIAN |
| Phone | 9049003472 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME101546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTRO, ANABEL C | Agent | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 |
| Name | Role | Address |
|---|---|---|
| CASTRO, ANABEL C | Owner | P.O. BOX 19855, JACKSONVILLE,, FL 32245 |
| Name | Role | Address |
|---|---|---|
| ESTRADA, MARIA | Authorized Representative | 9310 Old Kings Rd South, Unit 1303 Jacksonville, FL 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-22 | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 | No data |
| REINSTATEMENT | 2020-12-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-22 | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-22 | 9310 Old Kings Rd South, Unit 1303, Jacksonville, FL 32257 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-26 | CASTRO, ANABEL C | No data |
| REINSTATEMENT | 2015-10-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-07-20 |
| ANNUAL REPORT | 2021-03-17 |
| REINSTATEMENT | 2020-12-22 |
| REINSTATEMENT | 2015-10-26 |
| ANNUAL REPORT | 2014-04-29 |
| Florida Limited Liability | 2013-07-22 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
