| Entity Name: | FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jul 1999 (26 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P99000066528 |
| FEI/EIN Number | 593586793 |
| Address: | 1216 NW 22ND AVE, GAINESVILLE, FL, 32609 |
| Mail Address: | 1216 NW 22ND AVE, GAINESVILLE, FL, 32609 |
| ZIP code: | 32609 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962648196 | 2008-12-17 | 2009-01-06 | 1216 NW 22ND AVE, GAINESVILLE, FL, 326093475, US | 1216 NW 22ND AVE, GAINESVILLE, FL, 326093475, US | |||||||||||||||||||
|
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| Phone | +1 352-378-7978 |
| Fax | 3523789194 |
Authorized person
| Name | DR. MAY E MONTRICHARD |
| Role | OWNER/CEO |
| Phone | 3523787978 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0072631 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTRICHARD MAY EDr. | Agent | 1216 NW 22ND AVE, GAINESVILLE, FL, 32609 |
| Name | Role | Address |
|---|---|---|
| MONTRICHARD MAY E | Director | 1216 NW 22ND AVE, GAINESVILLE, FL, 32609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-25 | 1216 NW 22ND AVE, GAINESVILLE, FL 32609 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-12 | MONTRICHARD, MAY E, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-26 | 1216 NW 22ND AVE, GAINESVILLE, FL 32609 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-26 | 1216 NW 22ND AVE, GAINESVILLE, FL 32609 | No data |
| CANCEL ADM DISS/REV | 2008-03-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-31 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-02-12 |
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-05-04 |
| ANNUAL REPORT | 2009-02-04 |
| REINSTATEMENT | 2008-03-18 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-05-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
