| Entity Name: | GLADNEY FAMILY MED CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Dec 2021 (3 years ago) |
| Date of dissolution: | 10 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Jan 2024 (a year ago) |
| Document Number: | L21000522933 |
| FEI/EIN Number | 87-4008613 |
| Address: | 3119 SPRING GLEN RD, STE 104, JACKSONVILLE, FL 32207 |
| Mail Address: | 3215 SW 52ND AVE, APT 64, HOLLYWOOD, FL 33023 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699429027 | 2022-02-04 | 2022-02-04 | 61 MARLOW PL, ATLANTA, GA, 303281640, US | 3119 SPRING GLEN RD STE 104, JACKSONVILLE, FL, 322075921, US | |||||||||||||||||||||||||||||
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| Phone | +1 470-925-6802 |
Authorized person
| Name | RICHO GLADNEY |
| Role | OWNER |
| Phone | 4709256802 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARDWICK, JESSIE, JR | Agent | 2480 WOOLERY DR, JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| GLADNEY, RICHO | Authorized Member | 3215 SW 52ND AVE #64, HOLLYWOOD, FL 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-10 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-10 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-24 |
| Florida Limited Liability | 2021-12-13 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
