| Entity Name: | CHRISTOPHER W. CONAVAY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Jul 1991 (34 years ago) |
| Date of dissolution: | 26 Dec 1995 (29 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Dec 1995 (29 years ago) |
| Document Number: | S65083 |
| FEI/EIN Number | 59-3074886 |
| Address: | 1890 SEMORAN BLVD, SUITE 239, WINTER PARK, FL 32792 |
| Mail Address: | 1890 SEMORAN BLVD, SUITE 239, WINTER PARK, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497928865 | 2008-04-08 | 2008-04-08 | 2304 ALOMA AVE, SUITE 201, WINTER PARK, FL, 327923330, US | 2304 ALOMA AVE, SUITE 201, WINTER PARK, FL, 327923330, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-447-5370 |
| Fax | 4074474385 |
Authorized person
| Name | CHRISTOPHER W. CONAVAY |
| Role | SOLE PROPRIETOR |
| Phone | 4074475370 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 42102 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID |
| Number | 36366 |
| State | FL |
| Issuer | AVMED |
| Number | 211221 |
| Issuer | CIGNA |
| Number | 2296561 |
| Issuer | AETNA |
| Number | 0994080 |
| Name | Role | Address |
|---|---|---|
| CONAVAY, CHRISTOPHER W | Agent | 1890 SEMORAN BLVD, SUITE 239, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| CONAVAY, CHRISTOPHER W. | Director | 2210 CLASSIC CT E, LONGWOOD, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1995-12-26 | No data | No data |
| VOLUNTARY DISSOLUTION | 1995-12-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1995-12-26 | CONAVAY, CHRISTOPHER W | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
