| Entity Name: | DAVIS FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DAVIS FAMILY MEDICINE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 May 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000101900 |
| Address: | 5556 BROWN STREET, GRACEVILLE, FL, 32440 |
| Mail Address: | 5556 BROWN STREET, GRACEVILLE, FL, 32440 |
| ZIP code: | 32440 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154847580 | 2017-08-17 | 2018-03-17 | 5556 BROWN ST, GRACEVILLE, FL, 324401007, US | 5556 BROWN ST, GRACEVILLE, FL, 324401007, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 850-360-4150 |
| Fax | 8503604155 |
Authorized person
| Name | DR. WILLIAM STEVE DAVIS |
| Role | OWNER |
| Phone | 8503604150 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICARE |
| Number | R7779A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS WILLIAM S | Manager | 5556 BROWN STREET, GRACEVILLE, FL, 32440 |
| DAVIS WILLIAM S | Agent | 5556 BROWN STREET, GRACEVILLE, FL, 32440 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-05-08 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
