| 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 |
| 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 | |||||||||||||||||||||||||||||||
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| 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 |
| 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 |
| 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 |
| 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 | - |
| 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
