| Entity Name: | FAMILY MEDICINE OF BAY HILL, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 May 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Nov 2019 (5 years ago) |
| Document Number: | P03000060731 |
| FEI/EIN Number | 32-0077386 |
| Address: | 7380 Sand Lake Rd, Suite 500, ORLANDO, FL 32819 |
| Mail Address: | 7380 Sand Lake Rd, Suite 500, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215118542 | 2007-11-15 | 2019-10-14 | 6068 APOPKA VINELAND ROAD SUITE 9, ORLANDO, FL, 328194449, US | 7380 W SAND LAKE RD STE 500, ORLANDO, FL, 328195257, US | |||||||||||||||||||||
|
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| Phone | +1 407-352-0300 |
| Fax | 4073520340 |
Authorized person
| Name | JEFFREY STEWART PEELE |
| Role | OWNER |
| Phone | 4073520300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 43697 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEELE, JEFFREY S, Dr. | Agent | 8998 Levally Ct, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| PEELE, JEFFREY S, Dr. | President | 7380 Sand Lake Rd, Suite 500 ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 8998 Levally Ct, ORLANDO, FL 32819 | No data |
| REINSTATEMENT | 2019-11-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-07 | PEELE, JEFFREY S, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-07 | 7380 Sand Lake Rd, Suite 500, ORLANDO, FL 32819 | No data |
| REINSTATEMENT | 2015-04-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-07 | 7380 Sand Lake Rd, Suite 500, ORLANDO, FL 32819 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000099052 | TERMINATED | 1000000335809 | ORANGE | 2012-11-27 | 2023-01-16 | $ 483.96 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J10000388964 | LAPSED | 08-224-D4 | LEON | 2010-03-10 | 2015-03-10 | $3,752.26 | DFS, DIVISION OF WORKERS� COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-01-23 |
| REINSTATEMENT | 2019-11-19 |
| ANNUAL REPORT | 2016-05-01 |
| REINSTATEMENT | 2015-04-07 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-06-13 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
