| Entity Name: | SUNSHINE MEDICAL OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jan 2002 (23 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P02000010105 |
| FEI/EIN Number | 300012107 |
| Address: | 3909 N. LECANTO HWY, B, BEVERLY HILLS, FL, 34465 |
| Mail Address: | 3909 N. LECANTO HWY, B, BEVERLY HILLS, FL, 34465 |
| ZIP code: | 34465 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992735682 | 2006-07-05 | 2020-08-22 | 3470 N LECANTO HWY, BEVERLY HILLS, FL, 344653548, US | 3470 N LECANTO HWY, BEVERLY HILLS, FL, 344653548, US | |||||||||||||||||||||||||||
|
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| Phone | +1 352-527-2287 |
| Fax | 3527462295 |
Authorized person
| Name | TAMMY VANTASSELL |
| Role | OFFICE MNGR |
| Phone | 3525272287 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0048978 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | PT5465 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| PETER C. JOHNSTON, CPA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| BAYS MICHAEL D | President | 3905 N. LECANTO HWY., BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| VAN TASSELL TAMARA A | Treasurer | 126 E. ANGELFISH CT, BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| DEGRAW MARY | Vice President | 3909 N. LECANTO HWY., BEVERLY HILLS, FL, 34465 |
| Name | Role | Address |
|---|---|---|
| VAN TASSELL TAMARA A | Secretary | 126 E. ANGELFISH CT, BEVERLY HILLS, FL, 34465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-05 | 3909 N. LECANTO HWY, B, BEVERLY HILLS, FL 34465 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-05 | 3909 N. LECANTO HWY, B, BEVERLY HILLS, FL 34465 | No data |
| AMENDMENT | 2006-06-30 | No data | No data |
| AMENDMENT | 2005-11-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-01-05 |
| Amendment | 2006-06-30 |
| ANNUAL REPORT | 2006-01-12 |
| Amendment | 2005-11-22 |
| ANNUAL REPORT | 2005-01-03 |
| ANNUAL REPORT | 2004-01-23 |
| ANNUAL REPORT | 2003-01-13 |
| Domestic Profit | 2002-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
