| Entity Name: | PROFESSIONAL FAMILY PRACTICE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Aug 2013 (11 years ago) |
| Date of dissolution: | 29 Jul 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jul 2014 (10 years ago) |
| Document Number: | P13000068478 |
| FEI/EIN Number | 46-3479360 |
| Mail Address: | PO BOX 121156, CLERMONT, FL 34712 |
| Address: | 2105 Hartwood Marsh Rd, Suite 8, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275962680 | 2013-11-06 | 2014-02-26 | 2105 HARTWOOD MARSH RD, CLERMONT, FL, 347115389, US | 725 ALMOND ST, CLERMONT, FL, 347113120, US | |||||||||||||||||||
|
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| Phone | +1 352-404-7707 |
| Fax | 8884880722 |
Authorized person
| Name | MRS. PURNAMA D MADRAY |
| Role | OWNER |
| Phone | 3524047707 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME85427 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MADRAY, PURNAMA D | Agent | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| MADRAY, PURNAMA D | President | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| MADRAY, PURNAMA D | Treasurer | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, MARIA E | Manager | PO BOX 120373, CLERMONT, FL 34712 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, MARIA E | Director | PO BOX 120373, CLERMONT, FL 34712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-07-29 | No data | No data |
| AMENDMENT | 2014-04-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-24 | MADRAY, PURNAMA D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-24 | 2920 MAGNOLIA BLOSSOM CIRCLE, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-17 | 2105 Hartwood Marsh Rd, Suite 8, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-17 | 2105 Hartwood Marsh Rd, Suite 8, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2014-07-29 |
| Amendment | 2014-04-24 |
| ANNUAL REPORT | 2014-02-17 |
| Domestic Profit | 2013-08-16 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
