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FAMILY PHYSICIAN GROUP, INC. - Florida Company Profile

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Company Details

Entity Name: FAMILY PHYSICIAN GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Oct 1993 (32 years ago)
Date of dissolution: 23 Aug 1996 (29 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Aug 1996 (29 years ago)
Document Number: P93000070028
FEI/EIN Number 650441596
Mail Address: 1100 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US
Address: 6445 S.W. 8 ST., #236, MIAMI, FL, 33134, US
ZIP code: 33134
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VALLADARES JEANNETTE President 6445 S.W. 8ST., MIAMI, FL
VALLADARES JEANNETTE Secretary 6445 S.W. 8ST., MIAMI, FL
HELLMAN MAYNARD J. Agent 1100 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134

National Provider Identifier

NPI Number:
1184701740

Authorized Person:

Name:
VIJAYALAKSHMI POLAVARAPU
Role:
HOSPITALIST
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -
CHANGE OF PRINCIPAL ADDRESS 1995-06-23 6445 S.W. 8 ST., #236, MIAMI, FL 33134 -
CHANGE OF MAILING ADDRESS 1994-04-01 6445 S.W. 8 ST., #236, MIAMI, FL 33134 -
REGISTERED AGENT NAME CHANGED 1994-04-01 HELLMAN, MAYNARD J. -
REGISTERED AGENT ADDRESS CHANGED 1994-04-01 1100 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 -

Documents

Name Date
ANNUAL REPORT 1995-06-26

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Date of last update: 03 Jul 2025

Sources: Florida Department of State