| Entity Name: | OB-GYN HEALTH CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 May 1998 (27 years ago) |
| Document Number: | P98000045614 |
| FEI/EIN Number | 593508060 |
| Address: | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407050644 | 2007-06-12 | 2008-02-14 | 1445 DUNN AVE, DAYTONA BEACH, FL, 321141437, US | 1445 DUNN AVE, DAYTONA BEACH, FL, 321141437, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 386-258-0123 |
Authorized person
| Name | JOHN C MEYERS |
| Role | PRESIDENT |
| Phone | 3862580123 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROWN TERRY | Agent | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| MEYERS JOHN M | President | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| MEYERS JOHN M | Treasurer | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| DASILVA CHRISTINE M | Vice President | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| DASILVA CHRISTINE M | Secretary | 769 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| AMENDMENT | 1998-05-21 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
