| Entity Name: | FARE WAY TRANSPORTATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Apr 2012 (13 years ago) |
| Document Number: | P12000031295 |
| FEI/EIN Number | 45-4960761 |
| Address: | 304 E. Pine Street Ste 220, Lakeland, FL, 33801, US |
| Mail Address: | 304 E. Pine Street Ste 220, Lakeland, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689913154 | 2013-02-04 | 2022-12-21 | 115 E VAN FLEET DR STE 245, BARTOW, FL, 338303829, US | 2330 GOLFVIEW ST, LAKELAND, FL, 338012528, US | |||||||||||||||||||||||||
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| Phone | +1 863-581-0881 |
| Fax | 8635001976 |
Authorized person
| Name | VENTURA SMITH |
| Role | OWNER/OPERATOR |
| Phone | 8632714398 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114599900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH VENTURA J | Agent | 2330 Golfview St, Lakeland, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| Smith Ventura J | President | 2330 Golfview St, Lakeland, FL, 33801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000162633 | PART TIME RENTAL SOLUTIONS | ACTIVE | 2020-12-22 | 2025-12-31 | No data | 115 E. VAN FLEET DRIVE, SUITE 245, BARTOW, FL, 33830 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-11 | 304 E. Pine Street Ste 220, Lakeland, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-11 | 304 E. Pine Street Ste 220, Lakeland, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-02 | 2330 Golfview St, Lakeland, FL 33801 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
