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FAMILY DOCTORS OF BRADENTON, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LEWERENZ-WALSH AUDREY Agent 3303 MANATEE AVE WEST, BRADENTON, FL, 34205

Director

Name Role Address
LEWERENZ-WALSH AUDREY Director 3303 MANATEE AVE WEST, BRADENTON, FL, 34205

Officer

Name Role Address
LEWERENZ-WALSH AUDREY Officer 3303 MANATEE AVE WEST, BRADENTON, FL, 34205

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

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