| Entity Name: | FAMILY MEDICINE & HOLISTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Sep 2005 (19 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P05000122439 |
| FEI/EIN Number | 20-3446627 |
| Address: | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Mail Address: | 887 DELTONA BLVD., DELTONA, FL 32725 |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629102157 | 2007-03-15 | 2011-10-05 | 887 DELTONA BLVD, DELTONA, FL, 327257137, US | 887 DELTONA BLVD, DELTONA, FL, 327257137, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-575-2900 |
| Fax | 3868607226 |
Authorized person
| Name | DR. NELSON VAZQUEZ |
| Role | PRESIDENT |
| Phone | 3865752900 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, NELSON | Agent | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, NELSON | President | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, NELSON | Director | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, NELLIE A | Secretary | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, NELLIE A | Treasurer | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, RICHARD N | Vice President | 887 DELTONA BLVD., DELTONA, FL 32725 |
| VAZQUEZ, CHRISTINA M | Vice President | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Vazquez, Christopher Nelson | Vice President | 887 DELTONA BLVD., DELTONA, FL 32725 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-06 | 887 DELTONA BLVD., DELTONA, FL 32725 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-08-29 | VAZQUEZ, NELSON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-28 | 887 DELTONA BLVD., DELTONA, FL 32725 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-28 | 887 DELTONA BLVD., DELTONA, FL 32725 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000052817 | TERMINATED | 1000000856285 | VOLUSIA | 2020-01-15 | 2030-01-22 | $ 421.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| J19000312023 | TERMINATED | 1000000824608 | VOLUSIA | 2019-04-25 | 2029-05-01 | $ 752.58 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-06 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-03-24 |
| Off/Dir Resignation | 2012-10-29 |
| ANNUAL REPORT | 2012-04-24 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
