| Entity Name: | YOUR DOCTOR'S OFFICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 1995 (29 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P95000096568 |
| FEI/EIN Number | 593334587 |
| Address: | 800 SOUTH NOVA RD, STE A, ORMOND BCH, FL, 32174, US |
| Mail Address: | Post Office Box 730607, ORMOND BCH, FL, 32173-0607, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982985826 | 2011-09-06 | 2011-09-06 | PO BOX 730607, ORMOND BEACH, FL, 321730607, US | 800 S NOVA RD, SUITE A, ORMOND BEACH, FL, 321749048, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-676-0505 |
| Fax | 3866760788 |
Authorized person
| Name | DR. DANNIE E. BUCK |
| Role | PRESIDENT |
| Phone | 3866760505 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0062671 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 371526400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUCK DANNIE E | Agent | 800 SOUTH NOVA ROAD, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| BUCK DANNIE E | Director | 800 SOUTH NOVA RD., SUITE A, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-20 | 800 SOUTH NOVA RD, STE A, ORMOND BCH, FL 32174 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-20 | BUCK, DANNIE E | No data |
| REINSTATEMENT | 2015-09-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-18 | 800 SOUTH NOVA ROAD, SUITE A, ORMOND BEACH, FL 32174 | No data |
| REINSTATEMENT | 2011-01-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-05-05 | 800 SOUTH NOVA RD, STE A, ORMOND BCH, FL 32174 | No data |
| REINSTATEMENT | 1996-10-09 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001210096 | TERMINATED | 1000000517994 | VOLUSIA | 2013-07-15 | 2033-08-02 | $ 390.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| REINSTATEMENT | 2015-09-02 |
| REINSTATEMENT | 2011-01-18 |
| ANNUAL REPORT | 2008-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
