| Entity Name: | ADLY THEBAUD, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Oct 1991 (33 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Oct 2019 (5 years ago) |
| Document Number: | S88940 |
| FEI/EIN Number | 59-3088555 |
| Address: | 2725 REBECCA LN, SUITE 107, ORANGE CITY, FL 32763 |
| Mail Address: | 2725 REBECCA LN, SUITE 107, ORANGE CITY, FL 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| THEBAUD, ADLY | Agent | 2725 REBECCA LN, #107, ORANGE CITY, FL 32763 |
| Name | Role | Address |
|---|---|---|
| THEBAUD, ADLY, M.D. | Director | 2725 REBECCA LN, SUITE 107 ORANGE CITY, FL 32763 |
| Name | Role | Address |
|---|---|---|
| THEBAUD, ADLY, M.D. | Manager | 2725 REBECCA LN, SUITE 107 ORANGE CITY, FL 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000113121 | MEDICAL RESEARCH GROUP OF CENTRAL FLORIDA | ACTIVE | 2015-11-06 | 2025-12-31 | No data | 2725 REBECCA LANE, STE 107, ORANGE CITY, FL, 32763 |
| G15000109417 | AXIS 1 BEHAVIORAL CENTER | EXPIRED | 2015-10-27 | 2020-12-31 | No data | 2725 REBECCA LANE, SUITE 103, ORANGE CITY, FL, 32763 |
| G15000109404 | FAMILY PSYCHIATRY SERVICES | ACTIVE | 2015-10-27 | 2025-12-31 | No data | 1403 MEDICAL PLAZA DRIVE, SUITE 202, SANFORD, FL, 32771 |
| G14000104722 | AXIS I BEHAVIORAL CENTER | EXPIRED | 2014-10-15 | 2024-12-31 | No data | 2725 REBECCA LANE, SUITE 107, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-07 | 2725 REBECCA LN, #107, ORANGE CITY, FL 32763 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-16 | 2725 REBECCA LN, SUITE 107, ORANGE CITY, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-16 | 2725 REBECCA LN, SUITE 107, ORANGE CITY, FL 32763 | No data |
| REINSTATEMENT | 2019-10-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-28 | THEBAUD, ADLY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 1996-05-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| Reg. Agent Change | 2023-12-07 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-05-27 |
| REINSTATEMENT | 2019-10-28 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
