| Entity Name: | CITRUS PARK FAMILY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 Mar 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L16000050915 |
| FEI/EIN Number | 81-1830508 |
| Address: | 6182 GUNN HWY, TAMPA, FL 33625-4014 |
| Mail Address: | 6182 GUNN HWY, TAMPA, FL 33625-4014 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578926739 | 2016-04-04 | 2016-04-04 | 6182 GUNN HWY, TAMPA, FL, 336254014, US | 6182 GUNN HWY, TAMPA, FL, 336254014, US | |||||||||||||||||||
|
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| Phone | +1 813-960-1100 |
| Fax | 8139601101 |
Authorized person
| Name | DR. EMAD YOUSEF |
| Role | OWNER |
| Phone | 8139601100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Peiffer, Paul | Agent | 6182 GUNN HWY, TAMPA, FL 33625 |
| Name | Role |
|---|---|
| URGENT CARE EXPRESS, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-24 | Peiffer, Paul | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-02 | 6182 GUNN HWY, TAMPA, FL 33625-4014 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-02 | 6182 GUNN HWY, TAMPA, FL 33625-4014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-03-19 |
| Florida Limited Liability | 2016-03-14 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
