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DOVER SHORES FAMILY PRACTICE LLC - Florida Company Profile

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Company Details

Entity Name: DOVER SHORES FAMILY PRACTICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jun 2022 (3 years ago)
Document Number: L22000270980
FEI/EIN Number 88-2998968
Address: 4711 CURRY FORD ROAD, SUITE B, ORLANDO, FL, 32812, US
Mail Address: PO BOX 24556, Jacksonville, FL, 32241, US
ZIP code: 32812
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Foss Rafael Manager PO BOX 24556, Jacksonville, FL, 32241
Foss Rafael Agent 4711 CURRY FORD ROAD, ORLANDO, FL, 32812

National Provider Identifier

NPI Number:
1417683707
Certification Date:
2025-03-05

Authorized Person:

Name:
ALINA FOSS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8773973447
Fax:
4072779249

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-22 4711 CURRY FORD ROAD, SUITE B, ORLANDO, FL 32812 -
REGISTERED AGENT NAME CHANGED 2024-04-22 Foss, Rafael -
REGISTERED AGENT ADDRESS CHANGED 2024-04-22 4711 CURRY FORD ROAD, SUITE B, ORLANDO, FL 32812 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-14
Florida Limited Liability 2022-06-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State