| Entity Name: | MED FAMILY CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Apr 2020 (5 years ago) |
| Document Number: | L14000032424 |
| FEI/EIN Number | 46-4921894 |
| Address: | 3600 NW 43RD STREET, GAINESVILLE, FL, 32606, US |
| Mail Address: | 3600 NW 43RD STREET, GAINESVILLE, FL, 32606, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316357312 | 2014-04-30 | 2014-09-16 | 3600 NW 43RD ST, SUITE D-2, GAINESVILLE, FL, 326068137, US | 3600 NW 43RD ST, SUITE D-2, GAINESVILLE, FL, 32606, US | |||||||||||||||||||||||||
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| Phone | +1 352-872-5755 |
| Fax | 3528725102 |
Authorized person
| Name | ISABEL RODRIGUEZ |
| Role | OWNER |
| Phone | 7873633790 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ACN441 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011048000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ISABEL Dr. | Agent | 3600 NW 43RD STREET, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Isabel Dr. | Manager | 3600 NW 43RD STREET, SUITE A-1, GAINESVILLE, FL, 32606 |
| RODRIGUEZ ISABEL Dr. | Manager | 3600 NW 43RD STREET, SUITE A-1, GAINESVILLE, FL, 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-04-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-09 | 3600 NW 43RD STREET, SUITE A1-, GAINESVILLE, FL 32606 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-09 | 3600 NW 43RD STREET, SUITE A1-, GAINESVILLE, FL 32606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-09 | 3600 NW 43RD STREET, SUITE A-1, GAINESVILLE, FL 32606 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-13 | RODRIGUEZ, ISABEL, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| AMENDED ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-07 |
| REINSTATEMENT | 2020-04-09 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
