Entity Name: | YOU AND YOUR HEALTH FAMILY CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 31 Mar 1998 (27 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 09 Nov 2000 (24 years ago) |
Document Number: | P98000029490 |
FEI/EIN Number | 59-3502205 |
Address: | 1840 CLASSIQUE LANE, TAVARES, FL 32778 |
Mail Address: | P.O. BOX 1245, TAVARES, FL 32778 |
ZIP code: | 32778 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972696011 | 2006-10-02 | 2012-03-16 | PO BOX 1245, TAVARES, FL, 327781245, US | 1840 CLASSIQUE LN, TAVARES, FL, 327785748, US | |||||||||||||||||||||||||||||||
|
Phone | +1 352-508-5046 |
Fax | 3525085048 |
Authorized person
Name | DR. PERTH AGUSTA BLAKE |
Role | OWNER |
Phone | 3525085046 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME0069890 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE ID |
Number | 31711Y |
State | FL |
Issuer | BCBS |
Number | 31711 |
State | FL |
Name | Role | Address |
---|---|---|
BLAKE, PERTH A | Agent | 32421 Quiet Harbor Avenue, Unit 101, Leesburg, FL 34788 |
Name | Role | Address |
---|---|---|
Blake, Perth A | Director | 32421 Quiet Harbor Avenue, Unit 101 Leesburg, FL 34788 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 32421 Quiet Harbor Avenue, Unit 101, Leesburg, FL 34788 | No data |
REGISTERED AGENT NAME CHANGED | 2011-06-12 | BLAKE, PERTH A | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-04-07 | 1840 CLASSIQUE LANE, TAVARES, FL 32778 | No data |
CHANGE OF MAILING ADDRESS | 2010-04-07 | 1840 CLASSIQUE LANE, TAVARES, FL 32778 | No data |
REINSTATEMENT | 2000-11-09 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-03 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-04-04 |
ANNUAL REPORT | 2021-04-06 |
ANNUAL REPORT | 2020-04-19 |
ANNUAL REPORT | 2019-04-07 |
ANNUAL REPORT | 2018-04-25 |
ANNUAL REPORT | 2017-04-16 |
ANNUAL REPORT | 2016-03-20 |
ANNUAL REPORT | 2015-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State