| Entity Name: | FOUNTAIN FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jun 2005 (20 years ago) |
| Date of dissolution: | 08 Apr 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Apr 2024 (10 months ago) |
| Document Number: | P05000081481 |
| FEI/EIN Number | 202946520 |
| Address: | 12276 SAN JOSE BLVD STE 617, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 12276 SAN JOSE BLVD STE 617, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| EVANS BOYD D | Agent | 1773 BAYSIDE BLVD, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| EVANS BOYD D | Director | 1773 BAYSIDE BLVD, JACKSONVILLE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-04 | 12276 SAN JOSE BLVD STE 617, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-04 | 12276 SAN JOSE BLVD STE 617, JACKSONVILLE, FL 32223 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-26 | 1773 BAYSIDE BLVD, JACKSONVILLE, FL 32259 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-08 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-03-04 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
