| Entity Name: | EMMANUEL HEALTH CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Aug 2014 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P14000068864 |
| FEI/EIN Number | 47-1620581 |
| Address: | 909 N. Stone Street, DELAND, FL, 32720, US |
| Mail Address: | 909 N. Stone Street, DELAND, FL, 32720, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134518616 | 2015-01-21 | 2015-07-21 | 909 N STONE ST, DELAND, FL, 327202521, US | 909 N STONE ST, DELAND, FL, 327202521, US | |||||||||||||||||||||||||
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| Phone | +1 386-279-7726 |
| Fax | 3868732927 |
Authorized person
| Name | IAN WOOD |
| Role | OWNER |
| Phone | 3862797726 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME79609 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME79609 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WOOD IAN J | Agent | 909 N. Stone Street, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| GLIDDEN-WOOD ANGELLA M | President | 909 N. Stone Street, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| WOOD IAN J | Vice President | 909 N. Stone Street, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-13 | 909 N. Stone Street, DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-13 | 909 N. Stone Street, DELAND, FL 32720 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-13 | 909 N. Stone Street, DELAND, FL 32720 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-01-13 |
| Domestic Profit | 2014-08-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
