| Entity Name: | JOHNSONS FAMILY MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L22000487163 |
| FEI/EIN Number | 92-1074632 |
| Address: | 2605 Thomas Drive, Panama City Beach, FL, 32408, US |
| Mail Address: | 2605 Thomas Drive, Panama City Beach, FL, 32408, US |
| ZIP code: | 32408 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528772480 | 2023-01-05 | 2023-10-03 | 2605 THOMAS DR STE 120, PANAMA CITY BEACH, FL, 324086254, US | 2605 THOMAS DR STE 120, PANAMA CITY BEACH, FL, 324086254, US | |||||||||||||||||||||||||
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| Phone | +1 850-215-7095 |
| Fax | 8502157096 |
Authorized person
| Name | STEPHEN JOHNSON |
| Role | OWNER |
| Phone | 8502157095 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | APRN |
| Number | APRN9307095 |
| State | FL |
| Name | Role |
|---|---|
| JOHNSONS FAMILY MEDICINE LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON STEPHEN | Authorized Member | 313 WILLOW WAY, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 2605 Thomas Drive, Suite 120, Panama City Beach, FL 32408 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 2605 Thomas Drive, Suite 120, Panama City Beach, FL 32408 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-26 | Johnsons Family Medicine | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 2605 Thomas Drive, Suite 120, Panama City Beach, FL 32408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-26 |
| Florida Limited Liability | 2022-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
