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ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC - Florida Company Profile

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Company Details

Entity Name: ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Feb 2007 (19 years ago)
Last Event: LC AMENDED/RESTATED ARTICLE/NAME CHANGE
Event Date Filed: 20 Jan 2021 (5 years ago)
Document Number: L07000016295
FEI/EIN Number 59-3475356
Address: 77 West Granada Blvd., Ormond Beach, FL, 32174, US
Mail Address: 77 West Granada Blvd., Ormond Beach, FL, 32174, US
ZIP code: 32174
City: Ormond Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
Preuss Jeffrey President 77 West Granada Blvd., Ormond Beach, FL, 32174
- Member -

National Provider Identifier

NPI Number:
1326254962
Certification Date:
2025-01-22

Authorized Person:

Name:
ROBIN CAMPBELL
Role:
SR.DIRECTOR ENTERPRISE REVENUECYCLE
Phone:

Taxonomy:

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

Contacts:

Fax:
9047585380
Fax:
3866770463

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000013033 COMPLETE HEALTH ACTIVE 2022-02-01 2027-12-31 - 77 WEST GRANADA BOULEVARD, ORMOND BEACH, FL, 32714
G19000011944 COMPLETE HEALTH EXPIRED 2019-01-22 2024-12-31 - 77 WEST GRANADA BLVD., ORMOND BEACH, FL, 32714

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-07-18 841 Prudential Dr., Suite 1700, Jacksonville, FL 32207 -
CHANGE OF PRINCIPAL ADDRESS 2024-07-18 841 Prudential Dr., Suite 1700, Jacksonville, FL 32207 -
LC AMENDED AND RESTATED ARTICLES 2021-01-20 - -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2021-01-20 ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC -
LC AMENDMENT 2018-10-24 - -
REGISTERED AGENT ADDRESS CHANGED 2018-10-16 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
REGISTERED AGENT NAME CHANGED 2018-10-16 CT CORPORATION SYSTEM -
LC STMNT OF RA/RO CHG 2018-10-16 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-18
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-03-28
AMENDED ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2021-03-26
LC Amended and Restated Art 2021-01-20
ANNUAL REPORT 2020-05-30
ANNUAL REPORT 2019-04-29
LC Amendment 2018-10-24

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Date of last update: 02 Aug 2025

Sources: Florida Department of State