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QUINCY FAMILY MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: QUINCY FAMILY MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 May 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 29 Aug 2008 (17 years ago)
Document Number: P00000044516
FEI/EIN Number 593643388
Address: 10143 Moccasin Gap Road, Tallahassee, FL, 32309, US
Mail Address: POB 13621, Tallahassee, FL, 32317, US
ZIP code: 32309
City: Tallahassee
County: Leon
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOLLOMAN CARLA M President POB 13621, Tallahassee, FL, 32317
HOLLOMAN CARLA M Agent 10143 Moccasin Gap Road, Tallahassee, FL, 32309

National Provider Identifier

NPI Number:
1386812915

Authorized Person:

Name:
DR. CARLA MONICA HOLLOMAN
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8508751218

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-30 10143 Moccasin Gap Road, Tallahassee, FL 32309 -
CHANGE OF MAILING ADDRESS 2022-04-30 10143 Moccasin Gap Road, Tallahassee, FL 32309 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-30 10143 Moccasin Gap Road, Tallahassee, FL 32309 -
CANCEL ADM DISS/REV 2008-08-29 - -
REGISTERED AGENT NAME CHANGED 2008-08-29 HOLLOMAN, CARLA MD.O. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-08
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-22

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Date of last update: 02 Aug 2025

Sources: Florida Department of State