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FAMILY PRACTICE OF WEST VOLUSIA, P.A. - Florida Company Profile

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Company Details

Entity Name: FAMILY PRACTICE OF WEST VOLUSIA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 1980 (45 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Sep 2000 (25 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
City: Deland
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Rankin Bruce President 535 Lk Winnemissett Dr, Deland, FL, 32724
rankin jeannette h Director 535 Lk Winnemissett Dr, Deland, FL, 32724
RANKIN BRUCE G Agent 535 Lk Winnemissett Dr, Deland, FL, 32724

National Provider Identifier

NPI Number:
1427239888

Authorized Person:

Name:
MR. BRUCE G RANKIN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3867340821

Form 5500 Series

Employer Identification Number (EIN):
592048037
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
25
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-20 535 Lk Winnemissett Dr, Deland, FL 32724 -
CHANGE OF MAILING ADDRESS 2020-06-20 535 Lk Winnemissett Dr, Deland, FL 32724 -
REGISTERED AGENT ADDRESS CHANGED 2020-06-20 535 Lk Winnemissett Dr, Deland, FL 32724 -
REGISTERED AGENT NAME CHANGED 2002-07-16 RANKIN, BRUCE G -
REINSTATEMENT 2000-09-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -
NAME CHANGE AMENDMENT 1993-05-24 FAMILY PRACTICE OF WEST VOLUSIA, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-06-20
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-21
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-15

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Date of last update: 01 Jul 2025

Sources: Florida Department of State