| Entity Name: | FAMILY PHYSICIAN ASSISTANT PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 May 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P12000042841 |
| FEI/EIN Number | 45-5225161 |
| Address: | 210 CAPRI COVE WEST, NICEVILLE, FL 32578 |
| Mail Address: | 210 CAPRI COVE WEST, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BULLARD, GARY P | Agent | 210 CAPRI COVE WEST, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| BULLARD, GARY P | President | 210 CAPRI COVE WEST, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| BULLARD, BRENDA R | Vice President | 210 CAPRI COVE WEST, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| Domestic Profit | 2012-05-08 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
