| Entity Name: | FAMILY MEDICAL CENTER OF PORT RICHEY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jun 2002 (23 years ago) |
| Document Number: | P02000070338 |
| FEI/EIN Number | 371434447 |
| Address: | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677 |
| Mail Address: | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677 |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336511286 | 2015-10-30 | 2015-10-30 | 5225 ENCLAVE DR, OLDSMAR, FL, 346771962, US | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677, US | |||||||||||||||||||
|
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| Phone | +1 727-375-5885 |
| Fax | 7273755841 |
Authorized person
| Name | ADAM GREENFIELD |
| Role | OWNER |
| Phone | 7273755885 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME91998 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREENFIELD ADAM S | Agent | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| GREENFIELD ADAM S | President | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| GREENFIELD ADAM S | Vice President | 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-06-03 | 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 | No data |
| CHANGE OF MAILING ADDRESS | 2004-06-03 | 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-06-03 | 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
