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FAMILY MEDICINE SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: FAMILY MEDICINE SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Nov 1997 (28 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P97000096448
FEI/EIN Number 593478452
Address: 7200 CURRY FORD RD, ORLANDO, FL, 32822
Mail Address: 7200 CURRY FORD RD, ORLANDO, FL, 32822
ZIP code: 32822
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CRUZ HUMBERTO J Director 7200 CURRY FORD RD, ORLANDO, FL, 32822
CRUZ HUMBERTO J President 7200 CURRY FORD RD, ORLANDO, FL, 32822
CRUZ HUMBERTO J Treasurer 7200 CURRY FORD RD, ORLANDO, FL, 32822
CRUZ HUMBERTO J Secretary 7200 CURRY FORD RD, ORLANDO, FL, 32822
CRUZ HUMBERTO J Vice Chairman 7200 CURRY FORD RD, ORLANDO, FL, 32822
CRUZ HUMBERTO J Agent 7200 CURRY FORD RD, ORLANDO, FL, 32822

National Provider Identifier

NPI Number:
1891787990

Authorized Person:

Name:
DR. HUMBERTO CRUZ JR.
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
4076585702

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2005-11-30 7200 CURRY FORD RD, ORLANDO, FL 32822 -
CHANGE OF MAILING ADDRESS 2005-11-30 7200 CURRY FORD RD, ORLANDO, FL 32822 -
REGISTERED AGENT ADDRESS CHANGED 2005-11-30 7200 CURRY FORD RD, ORLANDO, FL 32822 -

Documents

Name Date
ANNUAL REPORT 2015-04-05
ANNUAL REPORT 2014-04-05
ANNUAL REPORT 2013-01-27
ANNUAL REPORT 2012-03-18
ANNUAL REPORT 2011-04-13
ANNUAL REPORT 2010-03-14
ANNUAL REPORT 2009-04-05
ANNUAL REPORT 2008-01-20
ANNUAL REPORT 2007-01-07
ANNUAL REPORT 2006-01-05

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Date of last update: 03 Jul 2025

Sources: Florida Department of State