| Entity Name: | INTERNAL MEDICINE GROUP OF CENTRAL FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Jul 1975 (50 years ago) |
| Document Number: | 479412 |
| FEI/EIN Number | 591605648 |
| Address: | 900 SOUTH GOLDENROD ROAD SUITE B, SUITE B, ORLANDO, FL, 32822 |
| Mail Address: | 900 SOUTH GOLDENROD ROAD SUITE B, SUITE B, ORLANDO, FL, 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679593479 | 2006-07-21 | 2010-09-16 | 900 S GOLDENROD RD, SUITE B, ORLANDO, FL, 32822, US | 900 S GOLDENROD RD, SUITE B, ORLANDO, FL, 32822, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-281-6424 |
| Fax | 4072811750 |
Authorized person
| Name | DR. LUIS F BARROSO |
| Role | PHYSICIAN PRESIDENT OF CORPORATION |
| Phone | 4072816424 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 0S0005861 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ARNP595722 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ARNP309908 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 0S0002722 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BARROSO LUIS F | Agent | 900 SOUTH GOLDENROD ROAD SUITE B, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| BARROSO LUIS F | President | 900 S GOLDENROD ROAD, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| BARROSO LUIS F | Treasurer | 900 S GOLDENROD ROAD, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| ATTERMAN STEVEN | Secretary | 900 S GOLDENROD ROAD, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| ATTERMAN STEVEN | Director | 900 S GOLDENROD ROAD, ORLANDO, FL, 32822 |
| BARROSO LUIS F | Director | 900 S GOLDENROD ROAD, ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-10-06 | INTERNAL MEDICINE GROUP OF CENTRAL FLORIDA, P.A. | No data |
| REINSTATEMENT | 1997-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1983-06-20 | BARROSO AND ADLER, D.O., P.A. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
