Entity Name: | EVOLUTION INSIGHT INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 Dec 2016 (8 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: | P16000098644 |
FEI/EIN Number | 814814245 |
Address: | 13790 BRIDGEWATER CROSSING BLVD., WINDERMERE, FL, 34786, US |
Mail Address: | 13790 BRIDGEWATER CROSSING BLVD., WINDERMERE, FL, 34786, US |
ZIP code: | 34786 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518477231 | 2017-10-08 | 2018-06-16 | 8297 CHAMPIONS GATE BLVD # 446, CHAMPIONS GATE, FL, 338968387, US | 1521 W WASHINGTON ST, ORLANDO, FL, 32805, US | |||||||||||||||||||||||
|
Phone | +1 321-282-1999 |
Fax | 8448397600 |
Authorized person
Name | VICKI HALL |
Role | CHIEF FINANCIAL OFFICER |
Phone | 2142358846 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
SCHEDWITZ SCOTT A | Agent | 13118 SUNKISS LOOP, WINDERMERE, FL, 34786 |
Name | Role | Address |
---|---|---|
SCHLEDWITZ SCOTT A | President | 13790 BRIDGEWATER CROSSING BLVD., WINDERMERE, FL, 34786 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G17000032128 | EVOYENT | EXPIRED | 2017-03-27 | 2022-12-31 | No data | 13790 BRIDGEWATER CROSSING BLVD, #1080, WINDERMERE, FL, 34786 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-01-06 | 13790 BRIDGEWATER CROSSING BLVD., SUITE #1080, WINDERMERE, FL 34786 | No data |
CHANGE OF MAILING ADDRESS | 2017-01-06 | 13790 BRIDGEWATER CROSSING BLVD., SUITE #1080, WINDERMERE, FL 34786 | No data |
Name | Date |
---|---|
Domestic Profit | 2016-12-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State