| Entity Name: | ALTAMONTE PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 May 1999 (26 years ago) |
| Date of dissolution: | 02 Nov 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Nov 2017 (7 years ago) |
| Document Number: | P99000045641 |
| FEI/EIN Number | 593577139 |
| Address: | 1706 EAST SEMORAN BLVD., SUITE 115, APOPKA, FL, 32703 |
| Mail Address: | 1706 EAST SEMORAN BLVD., SUITE 115, APOPKA, FL, 32703 |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083774178 | 2006-12-11 | 2014-04-14 | 1706 E SEMORAN BLVD, APOPKA, FL, 327035651, US | 1706 E SEMORAN BLVD, SUITE 115, APOPKA, FL, 327035651, US | |||||||||||||||||||||||||
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| Phone | +1 407-889-0007 |
| Fax | 4078895557 |
Authorized person
| Name | SUSAN RHEA |
| Role | OFFICE MANAGER |
| Phone | 4078890007 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME038388 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257631700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CURITS JANET R | Agent | 1168 ST. FRANCIS PLACE, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| CURTIS JANET R | Director | 1168 ST. FRANCIS PLACE, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| RHEA SUSAN H | Assistant Secretary | 1706 E SEMORAN BLVD STE 115, APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-05-02 | 1706 EAST SEMORAN BLVD., SUITE 115, APOPKA, FL 32703 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-30 | 1706 EAST SEMORAN BLVD., SUITE 115, APOPKA, FL 32703 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-23 | 1168 ST. FRANCIS PLACE, APOPKA, FL 32712 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-05-02 | CURITS, JANET R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-20 |
| AMENDED ANNUAL REPORT | 2014-03-10 |
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-01-07 |
| ANNUAL REPORT | 2012-01-13 |
| ANNUAL REPORT | 2011-08-05 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-03-01 |
| ANNUAL REPORT | 2009-05-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
