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SNOW FAMILY MEDICINE, INC.

Company Details

Entity Name: SNOW FAMILY MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Mar 2021 (4 years ago)
Document Number: P21000023850
FEI/EIN Number 86-2713042
Address: 6013 Farcenda Place, MELBOURNE, FL, 32940, US
Mail Address: 6013 Farcenda Place, MELBOURNE, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679246953 2021-07-31 2021-07-31 6013 FARCENDA PL STE 102, MELBOURNE, FL, 329407331, US 6013 FARCENDA PL STE 102, MELBOURNE, FL, 329407331, US

Contacts

Phone +1 321-427-5119

Authorized person

Name DR. CRAIG ALLEN SNOW
Role PRESIDENT
Phone 3214275119

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
SNOW CRAIG A Agent 2650 CROOKED ANTLER DRIVE, MELBOURNE, FL, 32934

Director

Name Role Address
SNOW CRAIG A Director 2650 CROOKED ANTLER DRIVE, MELBOURNE, FL, 32934
SNOW JENNIFER L Director 2650 CROOKED ANTLER DRIVE, MELBOURNE, FL, 32934

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-16 6013 Farcenda Place, Suite 102, MELBOURNE, FL 32940 No data
CHANGE OF MAILING ADDRESS 2022-01-16 6013 Farcenda Place, Suite 102, MELBOURNE, FL 32940 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-16
Domestic Profit 2021-03-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State