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FREEDOM FAMILY PRACTICE L.L.C. - Florida Company Profile

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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 (2 years ago)
Document Number: L23000461902
FEI/EIN Number 93-3843230
Mail Address: 4909 DRAWDY RD, PLANT CITY, FL, 33567, UN
Address: 2929 Lakeland Highlands Rd., Ste A2, lakeland, FL, 33803, US
ZIP code: 33803
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1902688666
Certification Date:
2023-12-13

Authorized Person:

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

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

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 - 4909 DRAWDY RD, PLANT CITY, FL, 33567

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-07 2929 Lakeland Highlands Rd., Ste A2, lakeland, FL 33803 -

Documents

Name Date
ANNUAL REPORT 2025-02-07
Florida Limited Liability 2023-10-06

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Date of last update: 01 Jul 2025

Sources: Florida Department of State