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  5. FAMILY PRACTICE OF WEST VOLUSIA, P.A.

FAMILY PRACTICE OF WEST VOLUSIA, P.A.

Company Details

Entity Name: FAMILY PRACTICE OF WEST VOLUSIA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 1980 (44 years ago)
Document Number: 687981
FEI/EIN Number 592048037
Address: 535 Lk Winnemissett Dr, Deland, FL, 32724, US
Mail Address: 535 Lk Winnemissett Dr, Deland, FL, 32724, US
ZIP code: 32724
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427239888 2007-11-14 2019-04-06 999 W PLYMOUTH AVE, DELAND, FL, 327203134, US 999 W PLYMOUTH AVE, DELAND, FL, 327203134, US

Contacts
Phone +1 386-740-7080
Fax 3867340821

Authorized person
Name MR. BRUCE G RANKIN
Role PHYSICIAN
Phone 3867407080

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS6029
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2021 592048037 2022-08-16 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 535 LAKE WINNEMISSETT DRIVE, DELAND, FL, 32724
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2021 592048037 2022-08-16 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 535 LAKE WINNEMISSETT DRIVE, DELAND, FL, 32724
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2020 592048037 2021-06-07 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 535 LAKE WINNEMISSETT DRIVE, DELAND, FL, 32724
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2019 592048037 2020-08-29 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 535 LAKE WINNEMISSETT DRIVE, DELAND, FL, 32724
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2018 592048037 2019-09-19 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 999 W. PLYMOUTH AVENUE, DELAND, FL, 32720
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2017 592048037 2018-10-10 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 862 PEACHWOOD DRIVE, DELAND, FL, 32720
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2016 592048037 2017-10-31 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 862 PEACHWOOD DRIVE, DELAND, FL, 32720
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2015 592048037 2016-10-05 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 862 PEACHWOOD DRIVE, DELAND, FL, 32720
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2014 592048037 2015-10-14 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 862 PEACHWOOD DRIVE, DELAND, FL, 32720
FAMILY PRACTICE OF WEST VOLUSIA, P.A. 401(K) PROFIT SHARING PLAN 2013 592048037 2014-10-02 FAMILY PRACTICE OF WEST VOLUSIA, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3867407080
Plan sponsor’s address 862 PEACHWOOD DRIVE, DELAND, FL, 32720

Agent

Name Role Address
RANKIN BRUCE G Agent 535 Lk Winnemissett Dr, Deland, FL, 32724

President

Name Role Address
Rankin Bruce President 535 Lk Winnemissett Dr, Deland, FL, 32724

Director

Name Role Address
rankin jeannette h Director 535 Lk Winnemissett Dr, Deland, FL, 32724

Events

Event Type Filed Date Value Description
REINSTATEMENT 2000-09-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data
NAME CHANGE AMENDMENT 1993-05-24 FAMILY PRACTICE OF WEST VOLUSIA, P.A. No data

Related by officers

Rankin Bruce

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RANKIN BRUCE G

BRUNNETTE, LLC KYODY ENTERPRISES, INC. U-CAN-TU INTERNATIONAL, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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