| Entity Name: | WALSH FAMILY MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Aug 2016 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | L16000147251 |
| FEI/EIN Number | 81-3418611 |
| Address: | 4623 Blue Marlin Dr, BRADENTON, FL, 34208, US |
| Mail Address: | 4654 EAST STATE RD 64, BRADENTON, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356826770 | 2018-10-02 | 2022-06-22 | 4654 E STATE ROAD 64 STE 509, BRADENTON, FL, 342089029, US | 1533 4TH AVE W, BRADENTON, FL, 342055949, US | |||||||||||||||||
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| Phone | +1 941-243-9613 |
| Fax | 9412262098 |
| Fax | 9414178008 |
Authorized person
| Name | DR. JOSEPH WALSH |
| Role | OWNER |
| Phone | 9412439613 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALSH JOSEPH B | Agent | 4623 Blue Marlin Dr, BRADENTON, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| WALSH JOSEPH B | Manager | 4654 EAST STATE RD 64, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 4623 Blue Marlin Dr, BRADENTON, FL 34208 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 4623 Blue Marlin Dr, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-02 | 4623 Blue Marlin Dr, BRADENTON, FL 34208 | No data |
| LC STMNT OF RA/RO CHG | 2018-08-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-03 |
| CORLCRACHG | 2018-08-24 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-02-21 |
| Florida Limited Liability | 2016-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
