| Entity Name: | WALK-IN FAMILY CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2020 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L20000282157 |
| FEI/EIN Number | 85-3059410 |
| Address: | 926 SAXON BLVD, ORANGE CITY, FL, 32763 |
| Mail Address: | 926 SAXON BLVD, ORANGE CITY, FL, 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164021945 | 2020-10-22 | 2020-10-22 | 926 SAXON BLVD, ORANGE CITY, FL, 327638313, US | 926 SAXON BLVD, ORANGE CITY, FL, 327638313, US | |||||||||||||||||||||||||||
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| Phone | +1 386-774-1881 |
| Fax | 3867741264 |
Authorized person
| Name | BENJAMIN WEISS |
| Role | OWNER |
| Phone | 3867741881 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WEISS BENJAMIN | Agent | 926 SAXON BLVD, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| WEISS BENJAMIN | Authorized Member | 926 SAXON BLVD, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-06-07 |
| ANNUAL REPORT | 2021-08-18 |
| Florida Limited Liability | 2020-09-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
