| Entity Name: | LAKE MARY FAMILY CARE. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 2001 (24 years ago) |
| Document Number: | P01000031755 |
| FEI/EIN Number | 593710307 |
| Address: | 330 Waymont Ct, LAKE MARY, FL, 32746, US |
| Mail Address: | 330 Waymont Ct, 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649346826 | 2006-11-28 | 2011-06-29 | 2500 W LAKE MARY BLVD, SUITE 217, LAKE MARY, FL, 327463501, US | 2500 W LAKE MARY BLVD, SUITE 217, LAKE MARY, FL, 327463501, US | |||||||||||||||||||
|
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| Phone | +1 407-688-8862 |
| Fax | 4076888868 |
Authorized person
| Name | MICHAEL E DILLEHAY |
| Role | PRESIDENT |
| Phone | 4076888862 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME81907 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DILLEHAY MICHAEL E | Agent | 200 Alegre Ct, Winter Springs, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| DILLEHAY MICHAEL E | President | 200 Alegre Ct, Winter Springs, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| DILLEHAY SYDNEY C | Treasurer | 330 Waymont Ct, Lake Mary, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-10 | 330 Waymont Ct, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-10 | 330 Waymont Ct, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-02 | 200 Alegre Ct, Winter Springs, FL 32708 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000181118 | TERMINATED | 1000000250551 | SEMINOLE | 2012-02-15 | 2022-03-14 | $ 2,211.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
