| 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 |
| Address: | 1623 SW 1ST AVE, OCALA, FL, 34471, UN |
| Mail Address: | 1623 SW 1ST AVE, OCALA, FL, 34471, UN |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194584896 | 2024-03-15 | 2024-03-15 | 1627 SW 1ST AVE STE 200, OCALA, FL, 344716515, US | 1627 SW 1ST AVE STE 200, OCALA, FL, 344716515, US | |||||||||||||
|
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| Phone | +1 352-362-4223 |
Authorized person
| Name | ROSAMMA BABY JOSEPH |
| Role | OWNER |
| Phone | 3523624223 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BABY JOSEPH ROSAMMA | Agent | 1623 SW 1ST AVE, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| BABY JOSEPH ROSAMMA | Manager | 1623 SW 1ST AVE, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| HOLLAND LAURIE | Authorized Representative | 1623 SW 1ST AVE, OCALA, FL, 34471 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
