| Entity Name: | STONE SURGERY CLINIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 03 Apr 2006 (19 years ago) |
| Branch of: | STONE SURGERY CLINIC, L.L.C., MISSISSIPPI (Company Number 669968) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | M06000001895 |
| FEI/EIN Number |
562637409
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 962 HWY 331 S., DEFUNIAK SPRINGS, FL, 32435 |
| Mail Address: | 962 HWY 331 S., DEFUNIAK SPRINGS, FL, 32435 |
| ZIP code: | 32435 |
| County: | Walton |
| Place of Formation: | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073718664 | 2007-06-15 | 2020-08-22 | 4417 US HWY 331 S, DEFUNIAK SPRINGS, FL, 324356703, US | 4417 US HWY 331 S, DEFUNIAK SPRINGS, FL, 324356703, US | |||||||||||||||||||
|
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| Phone | +1 850-951-4638 |
| Fax | 8509514554 |
Authorized person
| Name | DONNA WARD |
| Role | OFFICE MANAGER |
| Phone | 8509514638 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | 3024682 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAWAZ FAWZI M | Managing Member | 962 US HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 324353372 |
| FAWAZ FAWZI M | Agent | 962 HWY 331 S, DEFUNIAK SPRINGS, FL, 324353372 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-26 | 962 HWY 331 S, DEFUNIAK SPRINGS, FL 32435-3372 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-09-24 | 962 HWY 331 S., DEFUNIAK SPRINGS, FL 32435 | - |
| CHANGE OF MAILING ADDRESS | 2008-09-24 | 962 HWY 331 S., DEFUNIAK SPRINGS, FL 32435 | - |
| REGISTERED AGENT NAME CHANGED | 2008-09-24 | FAWAZ, FAWZI M.D. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-04-04 |
| ANNUAL REPORT | 2009-01-28 |
| ANNUAL REPORT | 2008-09-24 |
| ANNUAL REPORT | 2007-04-23 |
| Foreign Limited | 2006-04-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
