| Entity Name: | HANSEN FAMILY MEDICINE L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Mar 2015 (10 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: | L15000045700 |
| Address: | 15151 S. US HWY 441, SUITE 300, SUMMERFIELD, FL, 34491 |
| Mail Address: | 15151 S. US HWY 441, SUITE 300, SUMMERFIELD, FL, 34491 |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992198931 | 2015-03-16 | 2015-03-23 | 15151 S US HIGHWAY 441, SUITE 300, SUMMERFIELD, FL, 344914482, US | 15151 S US HIGHWAY 441, SUITE 300, SUMMERFIELD, FL, 344914482, US | |||||||||||||||||
|
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| Phone | +1 352-307-1350 |
Authorized person
| Name | CHERIE L HANSEN |
| Role | OWNER |
| Phone | 3523071350 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | OS8012 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANSEN CHERIE L | Agent | 15151 S. HWY 441, SUMMERFIELD, FL, 34491 |
| Name | Role | Address |
|---|---|---|
| HANSEN CHERIE L | Manager | 15151 S. US HWY 441, SUMMERFIELD, FL, 34491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
