| Entity Name: | VOLUSIA MEDICAL CENTER OF DAYTONA PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Sep 2013 (11 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P13000073855 |
| FEI/EIN Number | 46-3281147 |
| Address: | 575 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 161 n causeway, new smyrna beach, FL, 32169, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336575059 | 2013-09-26 | 2013-09-26 | 161 N CAUSEWAY STE A, NEW SMYRNA BEACH, FL, 321695328, US | 575 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321142323, US | |||||||||||||||||
|
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| Phone | +1 386-424-1584 |
| Fax | 8889007145 |
| Phone | +1 386-957-5652 |
Authorized person
| Name | JOHN S YEE |
| Role | MEDICAL DIRECTOR |
| Phone | 3864241584 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| luong priscilla | Agent | 161 N CAUSEWAY, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| luong priscilla | mgr | 161 N CAUSEWAY STE A, NEW SMYRNA BEACH, FL, 32169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-30 | 575 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-28 | luong, priscilla | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-08-15 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-28 |
| ANNUAL REPORT | 2014-05-01 |
| Domestic Profit | 2013-09-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
