| Entity Name: | GAINESVILLE FAMILY HEALTHCARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jan 2007 (18 years ago) |
| Date of dissolution: | 09 Dec 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Dec 2020 (4 years ago) |
| Document Number: | P07000009675 |
| FEI/EIN Number | 208272679 |
| Address: | 100 SW 75TH STREET, 101, GAINESVILLE, FL, 32607 |
| Mail Address: | 100 SW 75TH STREET, 101, GAINESVILLE, FL, 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508996208 | 2007-03-06 | 2008-02-20 | 9508 SW 33RD LN, GAINESVILLE, FL, 326088652, US | 100 SW 75TH ST, SUITE 101, GAINESVILLE, FL, 326075779, US | |||||||||||||||||||||
|
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| Phone | +1 352-333-8370 |
| Fax | 3523315260 |
| Phone | +1 352-331-5277 |
Authorized person
| Name | MAMTA SINGH |
| Role | PRESIDENT |
| Phone | 3523592258 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME87889 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SINGH MAMTA | Agent | 3850 SW 92ND DRIVE, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| SINGH MAMTA | Director | 3850 SW 92ND DRIVE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-19 | SINGH, MAMTA | No data |
| REINSTATEMENT | 2016-10-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-06 | 3850 SW 92ND DRIVE, GAINESVILLE, FL 32608 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-20 | 100 SW 75TH STREET, 101, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-20 | 100 SW 75TH STREET, 101, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-09 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-02-09 |
| REINSTATEMENT | 2016-10-19 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-18 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
