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FREEDOM FAMILY PRACTICE L.L.C.

Company Details

Entity Name: FREEDOM FAMILY PRACTICE L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Oct 2023 (a year ago)
Document Number: L23000461902
Address: 4909 DRAWDY RD, PLANT CITY, FL, 33567, UN
Mail Address: 4909 DRAWDY RD, PLANT CITY, FL, 33567, UN
ZIP code: 33567
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902688666 2023-10-17 2023-12-13 4909 DRAWDY RD, PLANT CITY, FL, 335678629, US 4909 DRAWDY RD, PLANT CITY, FL, 335678629, US

Contacts

Phone +1 813-355-6675

Authorized person

Name MR. JAMES NORMAN LEACH SR.
Role CO-OWNER
Phone 8133556675

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
LEACH PAMELA Agent 4909 DRAWDY RD, PLANT CITY, FL, 33567

Manager

Name Role Address
LEACH PAMELA Manager 4909 DRAWDY RD, PLANT CITY, FL, 33567
LEACH JAMES Manager 4909 DRAWDY RD, PLANT CITY, FL, 33567

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000022463 FREEDOM FAMILY PRACTICE ACTIVE 2024-02-09 2029-12-31 No data 4909 DRAWDY RD, PLANT CITY, FL, 33567

Documents

Name Date
Florida Limited Liability 2023-10-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State