| Entity Name: | HERON SPRINGS FAMILY MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jan 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000014669 |
| FEI/EIN Number | 830417430 |
| Address: | 8425 BALM ST, WEEKI WACHEE, FL, 34607, US |
| Mail Address: | 8425 BALM ST, WEEKI WACHEE, FL, 34607, US |
| ZIP code: | 34607 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124051115 | 2006-07-10 | 2008-03-24 | 8425 BALM ST, WEEKI WACHEE, FL, 346074419, US | 8425 BALM ST, WEEKI WACHEE, FL, 346074419, US | |||||||||||||||
|
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| Phone | +1 352-596-1770 |
| Fax | 3525961553 |
Authorized person
| Name | VINCENT TODD BUCKMAN |
| Role | OWNER PARTNER |
| Phone | 3525961770 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE HOGAN LAW FIRM, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BUCKMAN VINCENT T | Director | 8425 BALM ST., WEEKI WACHEE, FL, 34609 |
| PHAM KAREN | Director | 8425 BALM ST., WEEKI WACHEE, FL, 34607 |
| Name | Role | Address |
|---|---|---|
| BUCKMAN VINCENT T | President | 8425 BALM ST., WEEKI WACHEE, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| PHAM KAREN | Secretary | 8425 BALM ST., WEEKI WACHEE, FL, 34607 |
| Name | Role | Address |
|---|---|---|
| PHAM KAREN | Treasurer | 8425 BALM ST., WEEKI WACHEE, FL, 34607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-20 | 8425 BALM ST, WEEKI WACHEE, FL 34607 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-20 | 8425 BALM ST, WEEKI WACHEE, FL 34607 | No data |
| AMENDMENT AND NAME CHANGE | 2005-03-21 | HERON SPRINGS FAMILY MEDICINE, INC. | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2016-05-02 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-02-17 |
| ANNUAL REPORT | 2011-03-18 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-03-26 |
| ANNUAL REPORT | 2006-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
