| Entity Name: | MFP PHYSICIAN PARTNERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jan 2021 (4 years ago) |
| Document Number: | L21000045171 |
| FEI/EIN Number | 86-1638661 |
| Address: | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 |
| Mail Address: | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942954680 | 2022-02-11 | 2022-02-11 | 1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL, 344295736, US | 1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL, 344295736, US | |||||||||||||||
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| Phone | +1 352-795-0644 |
| Fax | 3527955950 |
Authorized person
| Name | MR. ALEX DICKERT |
| Role | OFFICE MANAGER |
| Phone | 3527950644 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DICKERT, RYAN S | Agent | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 |
| Name | Role | Address |
|---|---|---|
| DICKERT, RYAN S | Manager | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2 CRYSTAL RIVER, FL 34429 |
| DICKERT, ALEX J | Manager | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2 CRYSTAL RIVER, FL 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-04 | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-04 | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-04 | 6200 W CORPORATE OAKS DR, BUILDING D UNIT 2, CRYSTAL RIVER, FL 34429 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-28 |
| Florida Limited Liability | 2021-01-25 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
