Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

VOLUSIA ACADEMY OF MEDICINE, INC.

Filing Information
708109 N/A 11/13/1964 FL INACTIVE VOLUNTARY DISSOLUTION 07/31/2017 07/31/2017
Principal Address
303 N. CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Changed: 02/02/2012
Mailing Address
P.O. BOX 9595
DAYTONA BEACH, FL 32120-9595

Changed: 02/23/1999
Registered Agent Name & Address BAY, SAMARA
C/O HALIFAX MEDICAL CENTER
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Name Changed: 02/02/2012

Address Changed: 02/02/2009
Officer/Director Detail Name & Address

Title S

BOHANNON, J. STEVEN MD
PO BOX 11107
DAYTONA BEACH, FL 32120

Title P

MILES, STEVEN G, MD
1673 MASON AVE., STE 305
DAYTONA BEACH, FL 32114

Title T

WILLIAMS, KATHLEEN MD
550 MEMORIAL CIRCLE, STE. H
ORMOND BEACH, FL 32174

Title D

JENNINGS, LANE MD
3911 S. NOVA ROAD
PORT ORANGE, FL 32127

Title D

CLANCY, TAMARA R, MD
3635 S CLYDE MORRIS BLVD, #900
PORT ORANGE, FL 32129

Annual Reports
Report YearFiled Date
2015 04/14/2015
2016 04/05/2016
2017 04/20/2017