| Entity Name: | INNER BALANCE FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Oct 2017 (7 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 14 Oct 2017 (7 years ago) |
| Document Number: | L17000214013 |
| FEI/EIN Number | 46-3028504 |
| Address: | 4326 NW OAKBROOK CIRCLE, JENSEN BEACH, FL, 34957, US |
| Mail Address: | 4326 NW OAKBROOK CIRCLE, JENSEN BEACH, FL, 34957, US |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659932655 | 2019-06-21 | 2019-07-11 | 1400 SE GOLDTREE DRIVE, SUITE 207, PORT SAINT LUCIE, FL, 349527583, US | 1400 SE GOLDTREE DRIVE, SUITE 207, PORT SAINT LUCIE, FL, 349527583, US | |||||||||||||||||||
|
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| Phone | +1 772-323-0040 |
| Fax | 7722375849 |
Authorized person
| Name | DIONNE LAYNE HINDS |
| Role | OWNER |
| Phone | 7722490636 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HINDS DIONNE LMD | Agent | 4326 NW OAKBROOK CIRCLE, JENSEN BEACH, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| HINDS DIONNE LMD | Director | 4326 NW OAKBROOK CIRCLE, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2017-10-14 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P13000053814. CONVERSION NUMBER 300000175093 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-23 |
| Florida Limited Liability | 2017-10-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
