Search icon

GRACE FAMILY PRACTICE LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: GRACE FAMILY PRACTICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GRACE FAMILY PRACTICE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Aug 2020 (5 years ago)
Document Number: L20000269985
FEI/EIN Number 852408449

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6470 TIPPIN AVE, PENSACOLA, FL, 32504, US
Mail Address: 6470 TIPPIN AVE, PENSACOLA, FL, 32504, US
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FICKLING DEBRA A Manager 1920 John Carroll Dr., Pensacola, FL, 32504
FICKLING SHANE P Agent 6470 Tippin Ave, Pensacola, FL, 32504
FICKLING SHANE P Manager 1920 JOHN CARROLL DR, PENSACOLA, FL, 32504

National Provider Identifier

NPI Number:
1932708617
Certification Date:
2020-10-22

Authorized Person:

Name:
MRS. DEBRA ANN FICKLING
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-04-29 6470 TIPPIN AVE, PENSACOLA, FL 32504 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 6470 Tippin Ave, Pensacola, FL 32504 -
REGISTERED AGENT NAME CHANGED 2021-07-03 FICKLING, SHANE P -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-07-03
Florida Limited Liability 2020-08-31

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jun 2025

Sources: Florida Department of State