| Entity Name: | ORLANDO PSYCH GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Oct 1987 (37 years ago) |
| Date of dissolution: | 16 Jan 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jan 2019 (6 years ago) |
| Document Number: | J98330 |
| FEI/EIN Number | 59-2851669 |
| Address: | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Mail Address: | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487663779 | 2006-08-05 | 2015-11-03 | 7300 SANDLAKE COMMONS BLVD 315, ORLANDO, FL, 32819, US | 7300 SANDLAKE COMMONS BLVD 315, ORLANDO, FL, 32819, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-849-0227 |
| Fax | 4074235484 |
Authorized person
| Name | DR. LILLIAN SAAVEDRA |
| Role | OWNER/MD |
| Phone | 4078490227 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 0045963 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 043151600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA, LILLIAN T., M.D. | Agent | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA, LILLIAN T. M.D | President | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA, LILLIAN T. M.D | Secretary | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA, LILLIAN T. M.D | Treasurer | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA, LILLIAN T. M.D | Director | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-18 | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-10 | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-10 | 7300 SANDLAKE COMMONS BLVD, #315, ORLANDO, FL 32819 | No data |
| NAME CHANGE AMENDMENT | 1992-08-31 | ORLANDO PSYCH GROUP, P.A. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2019-01-16 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-01-31 |
| ANNUAL REPORT | 2011-01-31 |
| ANNUAL REPORT | 2010-04-20 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
