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FAMILY CARE ON EUSTIS SQUARE, PA - Florida Company Profile

Company Details

Entity Name: FAMILY CARE ON EUSTIS SQUARE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FAMILY CARE ON EUSTIS SQUARE, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Jan 1999 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Nov 2017 (7 years ago)
Document Number: P99000006552
FEI/EIN Number 593553212

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1 WEST PARK AVENUE, EUSTIS, FL, 32726, US
Mail Address: 1 WEST PARK AVENUE, EUSTIS, FL, 32726, US
ZIP code: 32726
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659473833 2006-09-01 2009-07-23 1 W PARK AVE, EUSTIS, FL, 327262947, US 1 W PARK AVE, EUSTIS, FL, 327262947, US

Contacts

Phone +1 352-357-4629
Fax 3523579367

Authorized person

Name MR. KEITH R HESTER
Role OWNER
Phone 3523574629

Taxonomy

Taxonomy Code 363AM0700X - Medical Physician Assistant
License Number PA2446
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE GROUP PTAN
Number K0951
State FL
Issuer MEDICAID
Number 259149900
State FL

Key Officers & Management

Name Role Address
HESTER KEITH R Manager 1 W PARK AVE, EUSTIS, FL, 32726
Hester Dawn M Managing Member 1 WEST PARK AVENUE, EUSTIS, FL, 32726
RISKO JOSEPH A Chairman 1911 BRIDGEWATER DRIVE, HEATHROW, FL, 327466911
HESTER KEITH R Agent 1 WEST PARK AVENUE, EUSTIS, FL, 32726

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000038694 HESTER FAMILY CARE & BARIATRIC CENTER ACTIVE 2015-04-13 2025-12-31 - 1 WEST PARK AVENUE, EUSTIS, FL, 32726

Events

Event Type Filed Date Value Description
AMENDMENT 2017-11-22 - -
REGISTERED AGENT NAME CHANGED 2012-01-04 HESTER, KEITH R -
CHANGE OF PRINCIPAL ADDRESS 2009-04-25 1 WEST PARK AVENUE, EUSTIS, FL 32726 -
CHANGE OF MAILING ADDRESS 2009-04-25 1 WEST PARK AVENUE, EUSTIS, FL 32726 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-25 1 WEST PARK AVENUE, EUSTIS, FL 32726 -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-22
Amendment 2017-11-22
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-30

Date of last update: 01 Mar 2025

Sources: Florida Department of State