| Entity Name: | LAKE MARY FAMILY PHYSICIANS P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKE MARY FAMILY PHYSICIANS P.A. 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: | 27 Jan 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | P05000014173 |
| FEI/EIN Number |
562499046
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 910 WILLISTON PARK POINT STE 2050, LAKE MARY, FL, 32746 |
| Mail Address: | 910 WILLISTON PARK POINT STE 2050, LAKE MARY, FL, 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174719082 | 2007-09-25 | 2009-07-07 | 910 WILLISTON PARK PT, SUITE 2050, LAKE MARY, FL, 327462172, US | 910 WILLISTON PARK PT, SUITE 2050, LAKE MARY, FL, 327462172, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-829-8960 |
| Fax | 4078298978 |
Authorized person
| Name | MS. LEAH M SUTPHIN |
| Role | BILLING MANAGER |
| Phone | 4078298960 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | ME88467, ME88578 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP1103432 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 94986 |
| State | FL |
| Issuer | MEDICARE GROUP NUMBER |
| Number | K8696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAGEE EDWARD J | Director | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE EDWARD J | President | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE EDWARD J | Treasurer | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE KRISTY JO M | Director | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE KRISTY JO M | Vice President | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE KRISTY JO M | Secretary | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| MAGEE EDWARD J | Agent | 1719 SHADYREST COURT, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-30 | 1719 SHADYREST COURT, LAKE MARY, FL 32746 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-12 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-06-15 |
| ANNUAL REPORT | 2011-06-09 |
| ANNUAL REPORT | 2010-05-10 |
| ANNUAL REPORT | 2009-05-19 |
| ANNUAL REPORT | 2008-04-27 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-27 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4337375001 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
