| Entity Name: | ALAMEDA FAMILY PRACTICE FL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Mar 2023 (2 years ago) |
| Date of dissolution: | 06 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | L23000136140 |
| Address: | 12627 SAN JOSE BLVD STE 801, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 136 CROWN WHEEL CIR, ST JOHNS, FL, 32259, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922702463 | 2023-03-29 | 2023-03-29 | 12627 SAN JOSE BLVD STE 801, JACKSONVILLE, FL, 322238644, US | 12627 SAN JOSE BLVD STE 801, JACKSONVILLE, FL, 322238644, US | |||||||||||||||
|
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| Phone | +1 904-467-5855 |
| Fax | 5053873937 |
Authorized person
| Name | PISETH KNIGHT |
| Role | NP |
| Phone | 9044675855 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROPER KEVIN | Agent | 136 CROWN WHEEL CIR, ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| KNIGHT PISETH | Authorized Member | 136 CROWN WHEEL CIR, ST JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 |
| Florida Limited Liability | 2023-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
