| Entity Name: | FAMILY PRACTICE & INJURY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Feb 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Feb 2011 (14 years ago) |
| Document Number: | P05000028225 |
| FEI/EIN Number | 202265941 |
| Address: | 4701 Central Avenue Ste A, St Petersburg, FL, 33713, US |
| Mail Address: | 4701 Central Avenue Ste A, St Petersburg, FL, 33713, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538245709 | 2006-10-31 | 2020-01-11 | 4701 CENTRAL AVE STE A, SAINT PETERSBURG, FL, 337138153, US | 4701 CENTRAL AVE STE A, SAINT PETERSBURG, FL, 337138153, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 727-347-3213 |
| Fax | 7273456923 |
Authorized person
| Name | NILA J ALLEN |
| Role | OFFICE MANAGER |
| Phone | 7273473213 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | FLOS00004912 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN NILA | Agent | 4701 Central Avenue Ste A, St Petersburg, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| ALLEN NILA J | President | 5778 5th Ave North, St Petersburg, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| ALLEN NILA J | Director | 5778 5th Ave North, St Petersburg, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-27 | 4701 Central Avenue Ste A, St Petersburg, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-27 | 4701 Central Avenue Ste A, St Petersburg, FL 33713 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-27 | 4701 Central Avenue Ste A, St Petersburg, FL 33713 | No data |
| AMENDMENT | 2011-02-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-16 | ALLEN, NILA | No data |
| AMENDMENT | 2005-08-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-06-23 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
