| Entity Name: | VOLUSIA PRIMARY CARE ASSOCIATES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 May 2000 (25 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P00000044947 |
| FEI/EIN Number | 593644282 |
| Address: | 667 BEVILLE RD S, SUITE B, DAYTONA BEACH, FL, 32119, UN |
| Mail Address: | 667 BEVILLE RD S, SUITE B, DAYTONA BEACH, FL, 32119, UN |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396946349 | 2007-05-29 | 2010-08-24 | 770 JOHN ANDERSON DR, ORMOND BEACH, FL, 321764708, US | 667 BEVILLE RD, SOUTH DAYTONA, FL, 321191952, US | |||||||||||||||||||
|
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| Phone | +1 386-322-2224 |
| Fax | 3863222033 |
Authorized person
| Name | DR. INDRAVADAN SHAH |
| Role | PHYSICIAN |
| Phone | 3863222224 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME48645 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH INDRAVADAN | Agent | 770 JOHN ANDERSON DRIVE, ORMOND BEACH, FL, 32176 |
| Name | Role | Address |
|---|---|---|
| SHAH INDRAVADAN | Director | 770 JOHN ANDERSON DRIVE, ORMOND BEACH, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-30 | 667 BEVILLE RD S, SUITE B, DAYTONA BEACH, FL 32119 UN | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-30 | 667 BEVILLE RD S, SUITE B, DAYTONA BEACH, FL 32119 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-02-21 |
| ANNUAL REPORT | 2012-01-30 |
| ANNUAL REPORT | 2011-02-22 |
| ANNUAL REPORT | 2010-04-04 |
| ANNUAL REPORT | 2009-04-03 |
| ANNUAL REPORT | 2008-02-11 |
| ANNUAL REPORT | 2007-07-08 |
| ANNUAL REPORT | 2006-02-03 |
| ANNUAL REPORT | 2005-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
