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HUDSON FAMILY MEDICINE, LLC

Company Details

Entity Name: HUDSON FAMILY MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Sep 2017 (7 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L17000186976
FEI/EIN Number 82-2795928
Address: 4570 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563, US
Mail Address: 6031 BLAIR CIRCLE, GULF BREEZE, FL, 32563, US
ZIP code: 32563
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326551938 2017-11-06 2018-06-16 6031 BLAIR CIR, GULF BREEZE, FL, 325637064, US 1766 SEA LARK LN UNIT 2, NAVARRE, FL, 325667472, US

Contacts

Phone +1 850-384-2617
Phone +1 850-226-6803
Fax 8882249066

Authorized person

Name DR. JANICE MARIE HUDSON
Role OWNER
Phone 8503842617

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
HUDSON JANICE M Agent 6031 BLAIR CIRCLE, GULF BREEZE, FL, 32563

Manager

Name Role Address
HUDSON JANICE M Manager 6031 BLAIR CIRCLE, GULF BREEZE, FL, 32563

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000020401 EMERALD COAST MEDICAL MARIJUANA ACTIVE 2020-02-14 2025-12-31 No data 6031 BLAIR CIRCLE, GULF BREEZE, FL, 32563

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-09-15 4570 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 No data

Documents

Name Date
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-09-25
Florida Limited Liability 2017-09-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State