F R FRUEHAN FAMILY PRACTICE,INC.

Company Details

Entity Name:	F R FRUEHAN FAMILY PRACTICE,INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	02 Jan 2007 (18 years ago)
Date of dissolution:	27 Apr 2017 (8 years ago)
Last Event:	VOLUNTARY DISSOLUTION
Event Date Filed:	27 Apr 2017 (8 years ago)
Document Number:	P07000000606
FEI/EIN Number	208144560
Address:	9 PINE CONE DR., 102A, PALM COAST, FL, 32137
Mail Address:	9 PINE CONE DR., 102A, PALM COAST, FL, 32137
ZIP code:	32137
County:	Flagler
Place of Formation:	FLORIDA

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1841316312

2007-03-22

2008-06-11

9 PINECONE DR, STE 102, PALM COAST, FL, 32137, US

9 PINE CONE DR STE 102, PALM COAST, FL, 321378683, US

Contacts

Phone	+1 386-445-6191
Fax	3864453916

Authorized person

Name	CINDY K VANZUUK
Role	OFFICE MANAGER CREDENTIAL DEPT
Phone	3864456191

Taxonomy

Taxonomy Code	207Q00000X - Family Medicine Physician
License Number	OS5359
State	FL
Is Primary	Yes

Name	Role	Address
FRUEHAN FLORENCE R	Agent	15 FLAGSHIP DR, PALM COAST, FL, 32137

Name	Role	Address
FRUEHAN FLORENCE R	Director	15 FLAGSHIP DR, PALM COAST, FL, 32137

Name	Role	Address
FRUEHAN SEETA	Treasurer	15 FLAGSHIP DR, PALM COAST, FL, 32137

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2017-04-27	No data	No data

Date of last update: 02 Feb 2025