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NATURE COAST FAMILY PRACTICE, P.A. - Florida Company Profile

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Company Details

Entity Name: NATURE COAST FAMILY PRACTICE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Jan 2003 (23 years ago)
Date of dissolution: 26 Sep 2014 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (11 years ago)
Document Number: P03000000501
FEI/EIN Number 364516922
Address: 675 HARVARD ST, BROOKSVILLE, FL, 34601
Mail Address: 74 Whitetail Dr, Ithaca, NY, 14850, US
ZIP code: 34601
City: Brooksville
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FRANKENBERG FRED W Director 675 HARVARD ST, BROOKSVILLE, FL, 34601
WOODRUFF RANDY Agent 801 S BROAD ST, BROOKSVILLE, FL, 34601

National Provider Identifier

NPI Number:
1922370451

Authorized Person:

Name:
DR. FRED WAYNE FRANKENBERG
Role:
OWNER/DR
Phone:

Taxonomy:

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

Contacts:

Fax:
3526844796

Form 5500 Series

Employer Identification Number (EIN):
364516922
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
CHANGE OF MAILING ADDRESS 2013-04-30 675 HARVARD ST, BROOKSVILLE, FL 34601 -

Documents

Name Date
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-03-07
ANNUAL REPORT 2011-05-05
ANNUAL REPORT 2010-04-26
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-03-28
ANNUAL REPORT 2007-02-08
ANNUAL REPORT 2006-02-04
ANNUAL REPORT 2005-04-06
ANNUAL REPORT 2004-04-19

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Date of last update: 01 Jul 2025

Sources: Florida Department of State