| Entity Name: | SANDLAKE FAMILY CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SANDLAKE FAMILY CARE, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 May 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | P03000061583 |
| FEI/EIN Number |
861064309
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL, 32819 |
| Mail Address: | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881882991 | 2007-10-15 | 2010-08-06 | PO BOX 690871, ORLANDO, FL, 328690871, US | 7364 STONEROCK CIR, STE B, ORLANDO, FL, 328198000, US | |||||||||||||||||||||||||||
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| Phone | +1 407-352-8188 |
| Fax | 4073519057 |
Authorized person
| Name | DR. GHYEATH AYOUBI |
| Role | PRESIDENT |
| Phone | 4073528188 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CORPORATION |
| Number | K4707 |
| State | FL |
| Issuer | MEDICAID |
| Number | 377305101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AYOUBI GHYEATH | Director | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL, 32819 |
| AYOUBI GHYEATH | President | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL, 32819 |
| AYOUBI GHYEATH | Agent | 7364 STONE ROCK CIR, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-16 | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL 32819 | - |
| CHANGE OF MAILING ADDRESS | 2005-01-16 | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL 32819 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-16 | 7364 STONE ROCK CIR, SUITE # B, ORLANDO, FL 32819 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-02-04 |
| ANNUAL REPORT | 2013-03-11 |
| ANNUAL REPORT | 2012-01-30 |
| ANNUAL REPORT | 2011-02-07 |
| ANNUAL REPORT | 2010-04-28 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
