| Entity Name: | MFP PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Mar 2022 (3 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: | L22000128731 |
| Address: | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639829468 | 2022-03-25 | 2022-03-25 | 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 | DR. RYAN DICKERT |
| Role | VICE PRESIDENT |
| Phone | 3527950644 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DICKERT RYAN S | Agent | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| DICKERT RYAN S | Manager | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| DICKERT ALEX J | Manager | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-03-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
