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ROBERT PAUL FILLINGIM, LLC

Company Details

Entity Name: ROBERT PAUL FILLINGIM, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jan 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Oct 2018 (6 years ago)
Document Number: L17000004122
FEI/EIN Number 82-1091083
Address: 5200 Woodbine Rd, Pace, FL, 32571, US
Mail Address: 5780 WINDERMERE TRACE, PACE, FL, 32571
ZIP code: 32571
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770191967 2020-07-14 2020-07-14 5780 WINDERMERE TRCE, PACE, FL, 325719368, US 5200 WOODBINE RD, PACE, FL, 325718715, US

Contacts

Phone +1 850-995-1544
Phone +1 850-529-1944

Authorized person

Name ROBERT P FILLINGIM
Role OWNER
Phone 8509951544

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
FILLINGIM ROBERT P Agent 5780 WINDERMERE TRACE, PACE, FL, 32571

Manager

Name Role Address
FILLINGIM ROBERT Manager 5780 WINDERMERE TRACE, PACE, FL, 32571

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-30 5200 Woodbine Rd, Pace, FL 32571 No data
REGISTERED AGENT NAME CHANGED 2019-04-30 FILLINGIM, ROBERT P No data
REINSTATEMENT 2018-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-04-30
REINSTATEMENT 2018-10-01
Florida Limited Liability 2017-01-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State