| Entity Name: | LOPEZ FAMILY PRIMARY CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Date of dissolution: | 12 Jun 2024 (7 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Jun 2024 (7 months ago) |
| Document Number: | P22000021646 |
| FEI/EIN Number | 88-1088841 |
| Address: | 10240 Fulcrum Avenue, JACKSONVILLE, FL 32256 |
| Mail Address: | 10240 Fulcrum Avenue, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922757558 | 2022-03-21 | 2022-03-28 | 6821 SOUTHPOINT DR N STE 107, JACKSONVILLE, FL, 322168026, US | 6821 SOUTHPOINT DR N STE 107, JACKSONVILLE, FL, 322168026, US | |||||||||||||||||||
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| Phone | +1 904-862-6070 |
| Fax | 9045953767 |
Authorized person
| Name | DIORGI LOPEZ SURI |
| Role | OWNER |
| Phone | 9048626070 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOPEZ SURI, DIORGI | Agent | 6821 SOUTHPOINT DRIVE N, SUITE 107, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| LOPEZ SURI, DIORGI | President | 6821 SOUTHPOINT DRIVE N, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ, IRIS | Vice President | 6821 SOUTHPOINT DRIVE N, SUITE 107 JACKSONVILLE, FL 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-27 | 10240 Fulcrum Avenue, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-27 | 10240 Fulcrum Avenue, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-12 |
| AMENDED ANNUAL REPORT | 2023-06-14 |
| ANNUAL REPORT | 2023-04-30 |
| Domestic Profit | 2022-03-08 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
