Entity Name: | FAMILY DOCTORS OF BRADENTON, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Oct 2003 (21 years ago) |
Date of dissolution: | 27 Sep 2019 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2019 (5 years ago) |
Document Number: | P03000118008 |
FEI/EIN Number | 770613923 |
Address: | 3303 MANATEE AVE WEST, BRADENTON, FL, 34205 |
Mail Address: | 3303 MANATEE AVE WEST, BRADENTON, FL, 34205 |
ZIP code: | 34205 |
County: | Manatee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104989995 | 2006-12-19 | 2020-08-22 | 3303 MANATEE AVE W, BRADENTON, FL, 342052550, US | 3303 MANATEE AVE W, BRADENTON, FL, 342052550, US | |||||||||||||||
|
Phone | +1 941-748-8069 |
Fax | 9417486609 |
Authorized person
Name | AUDREY LAURENZ |
Role | OWNER |
Phone | 9417488069 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEWERENZ-WALSH AUDREY | Agent | 3303 MANATEE AVE WEST, BRADENTON, FL, 34205 |
Name | Role | Address |
---|---|---|
LEWERENZ-WALSH AUDREY | Director | 3303 MANATEE AVE WEST, BRADENTON, FL, 34205 |
Name | Role | Address |
---|---|---|
LEWERENZ-WALSH AUDREY | Officer | 3303 MANATEE AVE WEST, BRADENTON, FL, 34205 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-05-01 |
ANNUAL REPORT | 2016-05-03 |
ANNUAL REPORT | 2015-04-29 |
ANNUAL REPORT | 2014-05-06 |
ANNUAL REPORT | 2013-01-27 |
ANNUAL REPORT | 2012-04-16 |
ANNUAL REPORT | 2011-04-20 |
ANNUAL REPORT | 2010-04-16 |
ANNUAL REPORT | 2009-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State