Entity Name: | BATSON FAMILY HEALTH CENTER FOR WELLNESS, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 29 Sep 2015 (9 years ago) |
Date of dissolution: | 22 Sep 2017 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (7 years ago) |
Document Number: | P15000080665 |
FEI/EIN Number | 47-5202433 |
Address: | 249 MAITLAND AVENUE SUITE 1000, ALTAMONTE SPRINGS, FL, 32701, US |
Mail Address: | PO BOX 520371, LONGWOOD, FL, 32752, US |
ZIP code: | 32701 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902353485 | 2016-09-01 | 2016-09-01 | 450 W STATE ROAD 434, SUITE 2020, LONGWOOD, FL, 327505118, US | 450 W STATE ROAD 434, SUITE 2020, LONGWOOD, FL, 327505118, US | |||||||||||||||||||
|
Phone | +1 407-331-7079 |
Fax | 4073314233 |
Authorized person
Name | DR. CHARLES LEE BATSON |
Role | PRESIDENT |
Phone | 4076211056 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME 46662 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JORDAN BATSON MICHAEL | Agent | 1954 SUNSET PALM DRIVE, APOPKA, FL, 32712 |
Name | Role | Address |
---|---|---|
BATSON CHARLES LMD | President | 249 Maitland Avenue, Altamonte Springs, FL, 32701 |
Name | Role | Address |
---|---|---|
BATSON CHARLES LMD | Secretary | 249 Maitland Avenue, Altamonte Springs, FL, 32701 |
Name | Role | Address |
---|---|---|
BATSON CHARLES LMD | Treasurer | 249 Maitland Avenue, Altamonte Springs, FL, 32701 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-02-14 | 249 MAITLAND AVENUE SUITE 1000, ALTAMONTE SPRINGS, FL 32701 | No data |
REGISTERED AGENT NAME CHANGED | 2017-02-14 | JORDAN BATSON, MICHAEL | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-02-14 | 1954 SUNSET PALM DRIVE, APOPKA, FL 32712 | No data |
REINSTATEMENT | 2016-10-22 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
Reg. Agent Change | 2017-02-14 |
REINSTATEMENT | 2016-10-22 |
Domestic Profit | 2015-09-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State