| Entity Name: | FAITH IN HOME, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Sep 2019 (5 years ago) |
| Document Number: | L19000243732 |
| FEI/EIN Number | 36-4952899 |
| Address: | 2401 FOREST DRIVE, INVERNESS, FL, 34453 |
| Mail Address: | 2401 FOREST DRIVE, INVERNESS, FL, 34453 |
| ZIP code: | 34453 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912538646 | 2020-01-31 | 2020-02-03 | 2401 FOREST DR, INVERNESS, FL, 344533720, US | 2401 FOREST DR, INVERNESS, FL, 344533720, US | |||||||||||||||
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| Phone | +1 352-344-3777 |
| Fax | 3523442546 |
Authorized person
| Name | JOSHUA SUMMERS |
| Role | AMBR |
| Phone | 3523443777 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONNOR STEVEN | Agent | 2401 FOREST DRIVE, INVERNESS, FL, 34453 |
| Name | Role |
|---|---|
| JOSHUA A SUMMERS MD PA | Authorized Member |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-06-09 |
| Florida Limited Liability | 2019-09-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
