| Entity Name: | PREMCARE FAMILY MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Nov 1987 (37 years ago) |
| Document Number: | K04036 |
| FEI/EIN Number | 592857951 |
| Address: | 7400 CANADA AVE, ORLANDO, FL, 32819 |
| Mail Address: | 7400 CANADA AVE, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730107780 | 2006-07-18 | 2023-07-20 | 4501 S SEMORAN BLVD, ORLANDO, FL, 328222407, US | 4501 S SEMORAN BLVD, ORLANDO, FL, 328222407, US | |||||||||||||||||||
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| Phone | +1 407-380-1428 |
| Fax | 4073800754 |
Authorized person
| Name | DR. MUHAMMAD A AWAN |
| Role | MEDICINE DOCTOR |
| Phone | 4073801428 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0068874 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KALIDAS, VINOD K. | Agent | 9111 MIDPINES CT, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| KALIDAS, VINOD K. | President | 9111 MIDPINES CT., ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| KALIDAS, VINOD K. | Director | 9111 MIDPINES CT., ORLANDO, FL |
| KALIDAS, MANAKLAL | Director | 7095 HORIZON CIRCLE, WINDERMERE, FL |
| KALIDAS, DINESH | Director | 7000 HORIZON CIR, WINDERMERE, FL |
| KALIDAS, KIRTI | Director | 7095 HORIZON CIRCLE, WINDERMERE, FL |
| Name | Role | Address |
|---|---|---|
| KALIDAS, MANAKLAL | Vice President | 7095 HORIZON CIRCLE, WINDERMERE, FL |
| Name | Role | Address |
|---|---|---|
| KALIDAS, DINESH | Secretary | 7000 HORIZON CIR, WINDERMERE, FL |
| Name | Role | Address |
|---|---|---|
| KALIDAS, KIRTI | Treasurer | 7095 HORIZON CIRCLE, WINDERMERE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| REINSTATEMENT | 1989-11-16 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1989-10-13 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
