| Entity Name: | KWABENA AYESU, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KWABENA AYESU, M.D., 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Mar 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 Nov 2007 (17 years ago) |
| Document Number: | P05000038963 |
| FEI/EIN Number |
562500290
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 609 N Charles Richard Beall Blvd, DEBARY, FL, 32713, US |
| Mail Address: | 609 N Charles Richard Beall Blvd, DEBARY, FL, 32713, US |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659563146 | 2007-08-17 | 2008-06-19 | 86 SPRING VISTA DR, SUITE 100, DEBARY, FL, 327131818, US | 86 SPRING VISTA DR, SUITE 100, DEBARY, FL, 327131818, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-774-6111 |
| Fax | 3867748111 |
Authorized person
| Name | KWABENA AYESU |
| Role | DOCTOR/OWNER |
| Phone | 3867746111 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 81108B |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00269607 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AYESU KWABENA M | President | 332 N SPAULDING COVE, LAKE MARY, FL, 32746 |
| AYESU KWABENA M | Agent | 609 N Charles Richard Beall Blvd, DEBARY, FL, 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 609 N Charles Richard Beall Blvd, DEBARY, FL 32713 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-10 | 609 N Charles Richard Beall Blvd, DEBARY, FL 32713 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-10 | 609 N Charles Richard Beall Blvd, DEBARY, FL 32713 | - |
| CANCEL ADM DISS/REV | 2007-11-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| NAME CHANGE AMENDMENT | 2005-04-11 | KWABENA AYESU, M.D., P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-02-27 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
