Entity Name: | FAMILY CLINICIAN OFFICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 03 Nov 2014 (10 years ago) |
Date of dissolution: | 25 Sep 2015 (9 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2015 (9 years ago) |
Document Number: | L14000170576 |
Address: | 13261 SW 209 ST, MIAMI, FL, 33177 |
Mail Address: | 13261 SW 209 ST, MIAMI, FL, 33177 |
ZIP code: | 33177 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386041978 | 2014-11-25 | 2014-11-25 | 13261 SW 209TH ST, MIAMI, FL, 331777502, US | 13261 SW 209TH ST, MIAMI, FL, 331777502, US | |||||||||||||||||||
|
Phone | +1 786-286-8489 |
Fax | 3053518788 |
Authorized person
Name | BERTHA CARRION |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 7862868489 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | ARNP9265855 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LOPEZ JOSUE | Agent | 13261 SW 209 ST, MIAMI, FL, 33177 |
Name | Role | Address |
---|---|---|
CARRION BERTHA | Manager | 13261 SW 209 ST, MIAMI, FL, 33125 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2014-11-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State