| Entity Name: | GIBBENS FAMILY MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2018 (7 years ago) |
| Document Number: | L18000167662 |
| FEI/EIN Number | 83-1200115 |
| Address: | 2338 State Ave, Panama City, FL, 32405, US |
| Mail Address: | 2338 State Ave, Panama City, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780160119 | 2018-07-18 | 2022-01-28 | 2338 STATE AVE, PANAMA CITY, FL, 324054361, US | 2338 STATE AVE, PANAMA CITY, FL, 324054361, US | |||||||||||||||
|
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| Phone | +1 850-640-0663 |
| Fax | 8508891510 |
Authorized person
| Name | BRITTANY GIBBENS |
| Role | MANAGER |
| Phone | 8506400663 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIBBENS BRITTANY | Agent | 2338 State Ave, Panama City, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| GIBBENS BRITTANY | Manager | 2338 State Ave, Panama City, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-28 | 2338 State Ave, Panama City, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-28 | 2338 State Ave, Panama City, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-28 | 2338 State Ave, Panama City, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-26 |
| Florida Limited Liability | 2018-07-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
