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DONOVAN D. TAYLOR, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: DONOVAN D. TAYLOR, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Sep 1996 (29 years ago)
Date of dissolution: 11 Aug 2017 (8 years ago)
Last Event: CONVERSION
Event Date Filed: 11 Aug 2017 (8 years ago)
Document Number: P96000080446
FEI/EIN Number 650697009
Address: 250 NW 183RD ST, MIAMI, FL, 33169, US
Mail Address: 250 NW 183RD ST, MIAMI, FL, 33169, US
ZIP code: 33169
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TAYLOR DONOVAN D Director 5301 S.W. 164 TERR, SOUTHWEST RANCHES, FL, 33331
TAYLOR DONOVAN D President 5301 S.W. 164 TERR, SOUTHWEST RANCHES, FL, 33331
TAYLOR DONOVAN D Agent 250 NW 183RD ST, MIAMI, FL, 33169

National Provider Identifier

NPI Number:
1851506430

Authorized Person:

Name:
DR. DONOVAN TAYLOR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3056550845

Form 5500 Series

Employer Identification Number (EIN):
650697009
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000063227 TAYLOR FAMILY MEDICAL CENTER EXPIRED 2017-06-07 2022-12-31 - 250 NW 183ST, MIAMI, FL, 33169
G15000078890 TAYLOR FAMILY MEDICAL EXPIRED 2015-07-30 2020-12-31 - 250 NW 183 ST, MIAMI GARDENS, FL, 33169

Events

Event Type Filed Date Value Description
CONVERSION 2017-08-11 - CONVERSION MEMBER. RESULTING CORPORATION WAS L17000171360. CONVERSION NUMBER 500000173535
CHANGE OF PRINCIPAL ADDRESS 2001-04-03 250 NW 183RD ST, MIAMI, FL 33169 -
CHANGE OF MAILING ADDRESS 2001-04-03 250 NW 183RD ST, MIAMI, FL 33169 -
REGISTERED AGENT ADDRESS CHANGED 2001-04-03 250 NW 183RD ST, MIAMI, FL 33169 -
REGISTERED AGENT NAME CHANGED 1997-04-18 TAYLOR, DONOVAN D -

Documents

Name Date
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-13
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-05-02
ANNUAL REPORT 2013-06-10
ANNUAL REPORT 2012-01-22
ANNUAL REPORT 2011-02-20
ANNUAL REPORT 2010-03-24
ANNUAL REPORT 2009-05-01
ANNUAL REPORT 2008-03-09

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Date of last update: 02 Aug 2025

Sources: Florida Department of State