| Entity Name: | FAMILY CARE MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Nov 2000 (24 years ago) |
| Document Number: | P00000103720 |
| FEI/EIN Number | 593680249 |
| Address: | 10244 EAST COLONIAL DRIVE STE #101, ORLANDO, FL, 32817 |
| Mail Address: | 10244 EAST COLONIAL DRIVE STE #101, ORLANDO, FL, 32817 |
| ZIP code: | 32817 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750499026 | 2006-08-28 | 2008-03-04 | 10244 E COLONIAL DR, STE 101, ORLANDO, FL, 328174374, US | 10244 E COLONIAL DR, STE 101, ORLANDO, FL, 328174374, US | |||||||||||||||
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| Phone | +1 407-737-9989 |
| Fax | 4073803228 |
Authorized person
| Name | EDNA TORRES |
| Role | DOO |
| Phone | 4077379989 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ LUIS A | Agent | 809 IRMA AVE., ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| NEGRON RAYMOND | President | 10244 E. COLONIAL DR. SUITE 101, ORLANDO, FL, 32817 |
| Name | Role | Address |
|---|---|---|
| NEGRON RAYMOND | Director | 10244 E. COLONIAL DR. SUITE 101, ORLANDO, FL, 32817 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09077900162 | EAST FAMILY CARE CENTER | EXPIRED | 2009-03-18 | 2014-12-31 | No data | 10244 E. COLONIAL DR., SUITE 101, ORLANDO, FL, 32817 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-12-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REINSTATEMENT | 2001-10-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000465562 | TERMINATED | 1000000222208 | ORANGE | 2011-07-12 | 2021-08-03 | $ 727.29 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J10000509429 | LAPSED | 09-CC-12013 #72 | CTY. CT. 9TH JUD. ORANGE FL | 2010-02-10 | 2015-04-19 | $16,967.57 | BELLSOUTH ADVERTISING & PUBLISHING CORPORATION, 2247 NORTHLAKE PARKWAY, 10TH FLOOR, TUCKER, GA 30084 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
