| Entity Name: | JOSE CASTILLO MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Feb 2004 (21 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P04000036949 |
| FEI/EIN Number | 200796284 |
| Address: | 2200 SOUTH BAY STREET, SUITE D, EUSTIS, FL, 32726 |
| Mail Address: | 2200 SOUTH BAY STREET, SUITE D, EUSTIS, FL, 32726 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396910642 | 2008-04-28 | 2012-12-28 | 2200 S BAY ST, SUITE D, EUSTIS, FL, 327266314, US | 2200 S BAY ST, SUITE D, EUSTIS, FL, 327266314, US | |||||||||||||||||
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| Phone | +1 352-483-2088 |
Authorized person
| Name | DR. JOSE CASTILLO |
| Role | OWNER |
| Phone | 3524832088 |
Taxonomy
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| License Number | ME0029503 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTILLO JOSE | Agent | 2200 SOUTH BAY STREET, EUSTIS, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| CASTILLO JOSE | Manager | 2200 SOUTH BAY STREET, EUSTIS, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| CASTILLO JOSE | Director | 2200 SOUTH BAY STREET, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-02 | 2200 SOUTH BAY STREET, SUITE D, EUSTIS, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-02 | 2200 SOUTH BAY STREET, SUITE D, EUSTIS, FL 32726 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-02 | 2200 SOUTH BAY STREET, SUITE D, EUSTIS, FL 32726 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-26 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-03-05 |
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-04-02 |
| ANNUAL REPORT | 2008-03-24 |
| ANNUAL REPORT | 2007-03-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
