| Entity Name: | ROUEL LINDA MD FAMILY PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Nov 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P08000099862 |
| FEI/EIN Number | 263683224 |
| Address: | 6808 SW90TH STREET, GAINESVILLE, FL, 32608, US |
| Mail Address: | 6808 SW 90TH ST., GAINESVILLE, FL, 32608, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457505844 | 2008-11-11 | 2009-07-13 | 3426 NW 43RD ST, SUITE B, GAINESVILLE, FL, 326068105, US | 3426 NW 43RD ST, SUITE B, GAINESVILLE, FL, 326068105, US | |||||||||||||||||||||||||
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| Phone | +1 352-283-8882 |
| Fax | 3523381415 |
Authorized person
| Name | DR. LINDA Y ROUEL |
| Role | FAMILY PRACTICE |
| Phone | 3522838882 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME 98021 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DO8770 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LINDA Y ROUEL | Agent | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ROUEL MD LINDA | President | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ROUEL MD LINDA | Secretary | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ROUEL MD LINDA | Treasurer | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ROUEL MD WADI | Vice President | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ROUEL MD LINDA | Director | 6808 SW 90TH STREET, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-22 | 6808 SW90TH STREET, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-04 | LINDA Y ROUEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-04 | 6808 SW 90TH STREET, GAINESVILLE, FL 32608 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-12 | 6808 SW90TH STREET, GAINESVILLE, FL 32608 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-22 |
| ANNUAL REPORT | 2011-01-14 |
| ANNUAL REPORT | 2010-03-04 |
| ANNUAL REPORT | 2009-08-28 |
| Domestic Profit | 2008-11-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
