| Entity Name: | FAMILY MEDICAL PRACTICE MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Nov 2008 (16 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P08000102171 |
| Address: | 645 RIDGEWOOD AVE., HOLLY HILL, FL, 32117, US |
| Mail Address: | 645 RIDGEWOOD AVE., HOLLY HILL, FL, 32117, US |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366687923 | 2008-12-11 | 2008-12-11 | 645 RIDGEWOOD AVE, HOLLY HILL, FL, 321173617, US | 645 RIDGEWOOD AVE, HOLLY HILL, FL, 321173617, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-258-5476 |
Authorized person
| Name | JOHN A LEVIN |
| Role | SECRETARY |
| Phone | 3862585476 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEVIN BESSIE J | Agent | 645 RIDGEWOOD AVE., HOLLY HILL, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| LEVIN HERBERT I | President | 645 RIDGEWOOD AVE., HOLLY HILL, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| LEVIN BESSIE J | Vice President | 645 RIDGEWOOD AVE, HOLLY HILL, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| LEVIN JOHN A | Treasurer | 645 RIDGEWOOD AVE, HOLLY HILL, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2008-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
