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THREE OAKS FAMILY MEDICINE LLC - Florida Company Profile

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Company Details

Entity Name: THREE OAKS FAMILY MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Jul 2020 (5 years ago)
Document Number: L20000229421
FEI/EIN Number 852417505
Address: 825 EAST COWBOY WAY, 102, LABELLE, FL, 33935, US
Mail Address: 825 EAST COWBOY WAY, LABELLE, FL, 33935, US
ZIP code: 33935
City: Labelle
County: Hendry
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LUCK VALAREE A Manager 323 VIA DEL AQUA, CLEWISTON, FL, 33440
DOMINGUEZ-GIRON JANET Manager 6040 TWIG CT, LABELLE, FL, 33935
PACHECO AMANDA M Agent 325 VIA DEL AQUA, CLEWISTON, FL, 33440
PACHECO AMANDA M Manager 325 VIA DEL AQUA, CLEWISTON, FL, 33440

National Provider Identifier

NPI Number:
1194336701
Certification Date:
2020-08-17

Authorized Person:

Name:
AMANDA PACHECO
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-22 825 EAST COWBOY WAY, 102, LABELLE, FL 33935 -

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-22
Florida Limited Liability 2020-07-31

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Date of last update: 01 Aug 2025

Sources: Florida Department of State