| Entity Name: | HOME DOCS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Apr 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000096399 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763, US |
| Mail Address: | 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518347038 | 2015-06-01 | 2020-08-12 | 341 W MINNESOTA AVE, ORANGE CITY, FL, 327632205, US | 135 E MINNESOTA AVE, ORANGE CITY, FL, 327632312, US | |||||||||||||||||||||||||
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| Phone | +1 386-316-5439 |
| Fax | 8885091292 |
Authorized person
| Name | JOHN CROKER |
| Role | OWNER |
| Phone | 3864733553 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP3333802 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 305918900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CROKER JOHN | Agent | 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROKER JOHN | Manager | 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-29 | 341 W. MINNESOTA AVE, ORANGE CITY, FL 32763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-29 |
| Florida Limited Liability | 2019-04-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
