Entity Name: | REGAL FAMILY CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 23 Mar 2005 (20 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | P05000044020 |
FEI/EIN Number | 202593767 |
Address: | 1120 CITRUS TOWER RD, SUITE 300, CLERMONT, FL, 34711 |
Mail Address: | P. O. BOX 2379, MINNEOLA, FL, 34755, US |
ZIP code: | 34711 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497806715 | 2007-01-15 | 2009-04-09 | PO BOX 2379, MINNEOLA, FL, 347552379, US | 1120 CITRUS TOWER BLVD, SUITE 300, CLERMONT, FL, 347111909, US | |||||||||||||||||||||||||
|
Phone | +1 352-243-0206 |
Fax | 3522431822 |
Authorized person
Name | NELLY A OTERO |
Role | PRESIDENT |
Phone | 3522430206 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME52940 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS OF FLORIDA |
Number | 09918 |
State | FL |
Name | Role | Address |
---|---|---|
OTERO NELLY A | Agent | 1120 CITRUS TOWER BLVD., CLERMONT, FL, 34711 |
Name | Role | Address |
---|---|---|
OTERO NELLY A | President | 1120 CITRUS TOWER RD. SUITE 300, CLERMONT, FL, 34711 |
Name | Role | Address |
---|---|---|
OTERO MANUEL A | Secretary | 1120 CITRUS TOWER RD SUITE 300, CLERMONT, FL, 34711 |
Name | Role | Address |
---|---|---|
OTERO MANUEL A | Treasurer | 1120 CITRUS TOWER RD SUITE 300, CLERMONT, FL, 34711 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF MAILING ADDRESS | 2009-04-28 | 1120 CITRUS TOWER RD, SUITE 300, CLERMONT, FL 34711 | No data |
REGISTERED AGENT NAME CHANGED | 2009-04-28 | OTERO, NELLY A | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-02-14 | 1120 CITRUS TOWER RD, SUITE 300, CLERMONT, FL 34711 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2008-02-14 | 1120 CITRUS TOWER BLVD., STE. 300, CLERMONT, FL 34711 | No data |
AMENDMENT | 2005-06-10 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2009-04-28 |
ANNUAL REPORT | 2008-02-14 |
ANNUAL REPORT | 2007-02-05 |
ANNUAL REPORT | 2006-05-22 |
Reg. Agent Change | 2005-07-01 |
Amendment | 2005-06-10 |
Domestic Profit | 2005-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State