Entity Name: | SPRINGS FAMILY PHYSICIANS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 08 May 2014 (11 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | L14000075170 |
FEI/EIN Number | 46-5614184 |
Mail Address: | 15261 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613 |
Address: | 10200 YALE AVENUE, WEEKI WACHEE, FL, 34613 |
ZIP code: | 34613 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700297678 | 2014-05-14 | 2014-05-14 | 15261 CORTEZ BLVD, BROOKSVILLE, FL, 346136072, US | 10200 YALE AVE, WEEKI WACHEE, FL, 346138375, US | |||||||||||||||||
|
Phone | +1 352-597-1960 |
Fax | 3525979470 |
Fax | 3515979470 |
Authorized person
Name | DIANA C BRIJBAG |
Role | OFFICE MANAGER |
Phone | 3525971960 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role |
---|---|
NAPOLITANO LAW, LLC | Agent |
Name | Role | Address |
---|---|---|
MUFTAH AZZAM | Manager | 15261 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2015-02-11 |
Florida Limited Liability | 2014-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State