| Entity Name: | HEALTHQUEST MEDICAL PARTNERS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Nov 2017 (7 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: | P17000094909 |
| FEI/EIN Number | 83-2317375 |
| Address: | 118 CEDAR ST., DAYTONA BEACH, FL 32114 |
| Mail Address: | 118 CEDAR ST., DAYTONA BEACH, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346710837 | 2018-11-28 | 2019-08-12 | 118 CEDAR ST, DAYTONA BEACH, FL, 321144904, US | 118 CEDAR ST, DAYTONA BEACH, FL, 32114, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 855-453-7539 |
Authorized person
| Name | DR. KESLEY CRAWFORD |
| Role | CEO |
| Phone | 9048316992 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | CLINICAL/GROUP PRACTICE |
| Number | KZ537 |
| Issuer | PT/OT/SP |
| Number | LD296 |
| Name | Role | Address |
|---|---|---|
| CRAWFORD, KESLEY | Agent | 118 CEDAR ST., DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| CRAWFORD, KESLEY | Chief Executive Officer | 118 CEDAR ST., DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| MCKNIGHT, LANETTE | GP | 118 CEDAR ST., DAYTONA BEACH, FL 32114 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000086663 | HEALTHQUEST BIODEVICES | EXPIRED | 2019-08-16 | 2024-12-31 | No data | 118 CEDAR ST, DAYTONA BEACH, FL, 32114 |
| G19000062421 | HEALTHQUEST | EXPIRED | 2019-05-28 | 2024-12-31 | No data | 118 CEDAR ST, DAYTONA BEACH, FL, 32114 |
| G18000117910 | CONTINUUM BEHAVIORAL MEDICINE ASSOCIATES, P.A. | EXPIRED | 2018-11-01 | 2023-12-31 | No data | 6467 GREENLAND ROAD, JACKSONVILLE, FL, 32258 |
| G18000115049 | CONTINUUM BEHAVIORAL HEALTH AND REHABILITATION | EXPIRED | 2018-10-24 | 2023-12-31 | No data | 6467 GREENLAND ROAD, JACKSONVILLE, FL, 32258 |
| G18000063102 | WOMEN'S ADDICTION RECOVERY (WAR) CENTER | EXPIRED | 2018-05-28 | 2023-12-31 | No data | 4570 SAN JUAN AVE, SUITE #2, JACKSONVILLE, FL, 32210 |
| G18000003518 | CENTRAL STERILE PROCESSING COMPANY | EXPIRED | 2018-01-06 | 2023-12-31 | No data | 841 PRUDENTIAL DRIVE, 12TH FLOOR, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2019-08-12 | HEALTHQUEST MEDICAL PARTNERS, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-12 | 118 CEDAR ST., DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-12 | 118 CEDAR ST., DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-12 | 118 CEDAR ST., DAYTONA BEACH, FL 32114 | No data |
| AMENDMENT | 2019-02-22 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2018-09-05 | HUMAN SERVICES ASSOCIATES GRP, P.A. | No data |
| AMENDMENT AND NAME CHANGE | 2018-04-30 | HUMAN SERVICES COUNCIL, INC | No data |
| Name | Date |
|---|---|
| Amendment and Name Change | 2019-08-12 |
| ANNUAL REPORT | 2019-04-22 |
| Amendment | 2019-02-22 |
| Amendment and Name Change | 2018-09-05 |
| Amendment and Name Change | 2018-04-30 |
| Domestic Profit | 2017-11-29 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
