| Entity Name: | FAMILY MEDICINE ON-CALL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Aug 2000 (24 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P00000080533 |
| FEI/EIN Number | 593665640 |
| Address: | 4106 WEST LAKE MARY BOULEVARD, SUITE 130, LAKE MARY, FL, 32746, US |
| Mail Address: | 4106 WEST LAKE MARY BOULEVARD, SUITE 130, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740499128 | 2007-05-22 | 2020-08-22 | 4106 W LAKE MARY BLVD, SUITE 110, LAKE MARY, FL, 327463315, US | 4106 W LAKE MARY BLVD, SUITE 110, LAKE MARY, FL, 327463315, US | |||||||||||||||||||
|
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| Phone | +1 407-333-2060 |
Authorized person
| Name | DR. WILLIAM DALTON |
| Role | PRESIDENT |
| Phone | 4073332060 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1104935477 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| DALTON WILLIAM E | President | 4106 WEST LAKE MARY BLVD.,STE 130, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| DALTON WILLIAM E | Director | 4106 WEST LAKE MARY BLVD.,STE 130, LAKE MARY, FL, 32746 |
| DALTON ELIZABETH V | Director | 4106 W Lake Mary Blvd Ste 130, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| DALTON ELIZABETH V | Secretary | 4106 W Lake Mary Blvd Ste 130, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| DALTON ELIZABETH V | Treasurer | 4106 W Lake Mary Blvd Ste 130, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-07 | 4106 WEST LAKE MARY BOULEVARD, SUITE 130, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-07 | 4106 WEST LAKE MARY BOULEVARD, SUITE 130, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-05-17 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-13 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
