| Entity Name: | TOWN CENTER FAMILY PRACTICE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jun 2005 (20 years ago) |
| Last Event: | AMENDED AND RESTATEDARTICLES/NAME CHANGE |
| Event Date Filed: | 02 Jun 2020 (5 years ago) |
| Document Number: | P05000090776 |
| FEI/EIN Number | 841684357 |
| Address: | 1642 N. Volusia Ave, ORANGE CITY, FL, 32763, US |
| Mail Address: | 1642 N. Volusia Ave, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467148411 | 2023-04-13 | 2023-04-13 | 1642 N VOLUSIA AVE, ORANGE CITY, FL, 327633842, US | 1642 N VOLUSIA AVE, ORANGE CITY, FL, 327633842, US | |||||||||||||||
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| Phone | +1 386-774-0188 |
| Fax | 3867741327 |
Authorized person
| Name | NEETU SINGH |
| Role | MEDICAL DIRECTOR |
| Phone | 6036503792 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOWN CENTER FAMILY PRACTICE INC 401K PLAN | 2023 | 841684357 | 2024-07-25 | TOWN CENTER FAMILY PRACTICE INC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | AJAY SINGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7742597547 |
| Plan sponsor’s address | 1043 TOWN CENTER DR, ORANGE CITY, FL, 32763 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-28 |
| Name of individual signing | AJAY SINGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7742597547 |
| Plan sponsor’s address | 1043 TOWN CENTER DR, ORANGE CITY, FL, 32763 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-16 |
| Name of individual signing | AJAY SINGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| WALSH BANKS PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| SINGH NEETU MD | Director | 1642 N. Volusia Ave, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| SINGH NEETU MD | President | 1642 N. Volusia Ave, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| SINGH AJAY | Auth | 1642 N. Volusia Ave, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-23 | 1642 N. Volusia Ave, ORANGE CITY, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-23 | 1642 N. Volusia Ave, ORANGE CITY, FL 32763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-07 | 228 Hillcrest Street, ORLANDO, FL 32801 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-21 | Walsh Banks PLLC | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2020-06-02 | TOWN CENTER FAMILY PRACTICE INC | No data |
| AMENDMENT | 2019-05-15 | No data | No data |
| AMENDMENT | 2005-07-15 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-09 |
| AMENDED ANNUAL REPORT | 2020-12-21 |
| ANNUAL REPORT | 2020-06-12 |
| Amended/Restated Article/NC | 2020-06-02 |
| Off/Dir Resignation | 2019-06-13 |
| Amendment | 2019-05-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
