| Entity Name: | PHYSICIAN ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Sep 2000 (24 years ago) |
| Document Number: | L00000011542 |
| FEI/EIN Number | 593672891 |
| Address: | 1414 KUHL AVE, MP2, ORLANDO, FL, 32806, US |
| Mail Address: | 1414 KUHL AVE, MP2, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356834592 | 2018-06-12 | 2018-06-12 | 235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL, 327143345, US | 4757 THE GROVE DR STE 250, WINDERMERE, FL, 347868426, US | |||||||||||||||||
|
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| Phone | +1 407-389-5300 |
Authorized person
| Name | DENNIS J. BUHRING |
| Role | PRESIDENT |
| Phone | 4076497401 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Zika Ryan | Agent | 207 W. Gore St., Suite 201, ORLANDO, FL, 32806 |
| Name | Role | Address |
|---|---|---|
| D'Ortona Cary | Manager | 1414 KUHL AVE, ORLANDO, FL, 32806 |
| Name | Role |
|---|---|
| HEALTHNET SERVICES, INC. | Auth |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000097867 | PEDIATRIC ASSOCIATES OF ORLANDO WINDERMERE LAB | EXPIRED | 2015-09-23 | 2020-12-31 | No data | 77 WEST UNDERWOOD STREET, 5TH FLOOR, ORLANDO, FL, 32806 |
| G15000096677 | PEDIATRIC ASSOCIATES OF ORLANDO | EXPIRED | 2015-09-21 | 2020-12-31 | No data | 77 WEST UNDERWOOD STREET, 5TH FLOOR, ORLANDO, FL, 32806 |
| G15000025856 | ORLANDO HEALTH PHYSICIAN ASSOCIATES | EXPIRED | 2015-03-11 | 2020-12-31 | No data | 235 N WESTMONT DRIVE, ALTAMONTE SPRINGS, FL, 32714 |
| G10000066321 | CHILDREN'S CENTER FOR GASTROENTEROLOGY AND NUTRITION | EXPIRED | 2010-07-19 | 2015-12-31 | No data | 7350 SANDLAKE COMMONS BOULEVARD, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2015-09-28 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000154557 |
| MERGER | 2012-12-31 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000128097 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000038216 | TERMINATED | 1000000767740 | ORANGE | 2018-01-12 | 2038-01-31 | $ 2,307.53 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
