| Entity Name: | DELTONA MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DELTONA MEDICAL CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 May 2005 (20 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L05000050637 |
| FEI/EIN Number |
202872291
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 747 FAWN RIDGE DR, 200, ORANGE CITY, FL, 32763 |
| Mail Address: | 747 FAWN RIDGE DR, 200, ORANGE CITY, FL, 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508285032 | 2014-04-11 | 2014-04-11 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 747 FAWN RIDGE DR, SUITE 200, ORANGE CITY, FL, 327638268, US | |||||||||||||||||
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| Phone | +1 386-668-9800 |
Authorized person
| Name | KENNY HEINE |
| Role | VP OF OPERATIONS |
| Phone | 8589641506 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME71092 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRISANTO MANUEL | Managing Member | 213 ALEXANDRA WOODS DR, DEBARY, FL, 32713 |
| CRISANTO MANUEL | Agent | 213 ALEXANDRA WOODS DR, DEBARY, FL, 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-30 | 747 FAWN RIDGE DR, 200, ORANGE CITY, FL 32763 | - |
| CHANGE OF MAILING ADDRESS | 2008-05-30 | 747 FAWN RIDGE DR, 200, ORANGE CITY, FL 32763 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-03-05 |
| ANNUAL REPORT | 2012-06-15 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-04-30 |
Date of last update: 02 May 2025
Sources: Florida Department of State
