| Entity Name: | LA FAMILIA HEALTH CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 Oct 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: | L17000225489 |
| FEI/EIN Number | 82-3258326 |
| Address: | 7625 SW 62ND CT, STE 100, OCALA, FL 34476 |
| Mail Address: | 7625 SW 62ND CT, STE 100, OCALA, FL 34476 |
| ZIP code: | 34476 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780199323 | 2017-12-05 | 2018-08-08 | 7625 SW 62ND CT STE 100, OCALA, FL, 344768322, US | 7625 SW 62ND CT STE 100, OCALA, FL, 34476, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-237-8903 |
| Fax | 3522378962 |
Authorized person
| Name | DR. RAFAEL R ROSARIO |
| Role | MEDICAL DIRECTOR |
| Phone | 3522378903 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1700055878 |
| Issuer | LICENSE |
| Number | ACN560 |
| State | FL |
| Name | Role |
|---|---|
| ACORN TAX AND WEALTH ADVISORS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROSARIO, MARIA | Authorized Member | 7625 SW 62ND CT STE 100, OCALA, FL 34476 |
| ROSARIO, RAFAEL | Authorized Member | 7625 SW 62ND CT STE 100, OCALA, FL 34476 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-02 | Acorn Tax and Wealth Advisors LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-02 | 7494 Sw 60th Ave, Suite B, OCALA, FL 34476 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-02-08 |
| Florida Limited Liability | 2017-10-31 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
