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MARION FAMILY MEDICINE LLC - Florida Company Profile

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Company Details

Entity Name: MARION FAMILY MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Feb 2024 (a year ago)
Document Number: L24000095109
FEI/EIN Number 99-1582039
Address: 1623 SW 1ST AVE, OCALA, FL, 34471, UN
Mail Address: 1623 SW 1ST AVE, OCALA, FL, 34471, UN
ZIP code: 34471
City: Ocala
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BABY JOSEPH ROSAMMA Manager 1623 SW 1ST AVE, OCALA, FL, 34471
HOLLAND LAURIE Authorized Representative 1623 SW 1ST AVE, OCALA, FL, 34471
BABY JOSEPH ROSAMMA Agent 1623 SW 1ST AVE, OCALA, FL, 34471

National Provider Identifier

NPI Number:
1194584896
Certification Date:
2024-03-15

Authorized Person:

Name:
ROSAMMA BABY JOSEPH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-02-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State