| Entity Name: | OPTIONS HEALTH FAMILY PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Dec 2020 (4 years ago) |
| Date of dissolution: | 22 Aug 2024 (5 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Aug 2024 (5 months ago) |
| Document Number: | L20000382659 |
| FEI/EIN Number | 85-4172522 |
| Address: | 256 Canal Street, Port Saint Joe, FL 32456 |
| Mail Address: | 256 Canal Street, Port Saint Joe, FL 32456 |
| ZIP code: | 32456 |
| County: | Gulf |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710583190 | 2020-12-10 | 2021-03-18 | 101 S 23RD ST, MEXICO BEACH, FL, 324567178, US | 256 CANAL STREET, PORT SAINT JOE, FL, 32456, US | |||||||||||||||||||
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| Phone | +1 850-273-8450 |
| Fax | 4238034776 |
Authorized person
| Name | PATRICIA MITCHELL |
| Role | OWNER/FOUNDER |
| Phone | 8502738450 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE |
| Number | MC1F7 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, PATRICIA | Agent | 256 Canal Street, Port Saint Joe, FL 32456 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, PATRICIA | Chief Executive Officer | 256 Canal Street, Port Saint Joe, FL 32456 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-24 | 256 Canal Street, Port Saint Joe, FL 32456 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-24 | 256 Canal Street, Port Saint Joe, FL 32456 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-11 | 256 Canal Street, Port Saint Joe, FL 32456 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-22 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-28 |
| Florida Limited Liability | 2020-12-07 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
