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THE FAMILY DOCTORS, P.A.

Company Details

Entity Name: THE FAMILY DOCTORS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 20 Jun 2013 (12 years ago)
Date of dissolution: 25 Feb 2015 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Feb 2015 (10 years ago)
Document Number: P13000053461
FEI/EIN Number 46-3061161
Address: 14050 TOWN LOOP BLVD., SUITE 201, ORLANDO, FL 32837
Mail Address: 14050 TOWN LOOP BLVD., SUITE 201, ORLANDO, FL 32837
ZIP code: 32837
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700286556 2014-08-29 2014-08-29 14050 TOWN LOOP BLVD STE 201, ORLANDO, FL, 328376190, US 14050 TOWN LOOP BLVD STE 201, ORLANDO, FL, 328376190, US

Contacts

Phone +1 407-348-0399
Fax 4073488350

Authorized person

Name MARIN BAUTISTA
Role PRESIDENT
Phone 4073480399

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME62124
State FL
Is Primary Yes

Agent

Name Role Address
BAUTISTA, MARIN Agent 4441 LAKE CALABAY DRIVE, ORLANDO, FL 32837

President

Name Role Address
BAUTISTA, MARIN President 4441 LAKE CALABAY DRIVE, ORLANDO, FL 32837

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-02-25 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-02-25
ANNUAL REPORT 2014-07-29
Domestic Profit 2013-06-20

Date of last update: 21 Feb 2025

Sources: Florida Department of State