| Entity Name: | PHYSICAL MEDICINE GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PHYSICAL MEDICINE GROUP, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Apr 2001 (24 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L01000006044 |
| FEI/EIN Number |
593710858
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 509 W. COLONIAL DR., ORLANDO, FL, 32804 |
| Mail Address: | 509 W. COLONIAL DR., ORLANDO, FL, 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902004732 | 2007-07-03 | 2018-06-21 | 1339 W COLONIAL DR, ORLANDO, FL, 32804, US | 1339 W COLONIAL DR, ORLANDO, FL, 32804, US | |||||||||||||||||||||||||
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| Phone | +1 407-420-2199 |
| Fax | 4074204599 |
Authorized person
| Name | DR. MLADEN ANTOLIC |
| Role | MEDICAL DIRECTOR |
| Phone | 4074202199 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME 49756 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | 77164 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ANTOLIC MLADEN | Director | 509 W. COLONIAL DR, ORLANDO, FL, 32804 |
| ANTOLIC MLADEN M | Agent | 509 W. COLONIAL DR, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-10-03 | 509 W. COLONIAL DR., ORLANDO, FL 32804 | - |
| REINSTATEMENT | 2008-10-03 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-10-03 | 509 W. COLONIAL DR, ORLANDO, FL 32804 | - |
| REGISTERED AGENT NAME CHANGED | 2008-10-03 | ANTOLIC, MLADEN MD | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-03 | 509 W. COLONIAL DR., ORLANDO, FL 32804 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| CANCEL ADM DISS/REV | 2006-01-17 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000224975 | LAPSED | 1000000253704 | OSCEOLA | 2012-02-29 | 2022-03-28 | $ 1,319.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-18 |
| ANNUAL REPORT | 2009-06-22 |
| REINSTATEMENT | 2008-10-03 |
| ANNUAL REPORT | 2007-01-08 |
| REINSTATEMENT | 2006-01-17 |
| ANNUAL REPORT | 2004-04-28 |
| ANNUAL REPORT | 2003-08-05 |
| ANNUAL REPORT | 2002-02-26 |
| Florida Limited Liabilites | 2001-04-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
