| Entity Name: | AFFINITY HEALTHCARE CENTER AT WATERFORD LAKES, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2002 (23 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 19 Mar 2002 (23 years ago) |
| Document Number: | L02000001501 |
| FEI/EIN Number | 752982346 |
| Address: | 305 white Oak Way, Monroe, GA, 30655, US |
| Mail Address: | 305 white Oak Way, Monroe, GA, 30655, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629521695 | 2016-07-26 | 2020-09-21 | 779 N ALAFAYA TRL, ORLANDO, FL, 328287047, US | 779 N ALAFAYA TRL, ORLANDO, FL, 328287047, US | |||||||||||||||||||||||
|
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| Phone | +1 407-381-4040 |
Authorized person
| Name | DR. ENRIQUE URRUTIA |
| Role | OWNER |
| Phone | 4073814040 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | OS11175 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | OS11175 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALDASARE BRENT | Agent | 779 Alafaya Trail, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| BALDASARE BRENT | Managing Member | 779 Alafaya Trail, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| Urrutia Enrique JDr. | Manager | 779 Alafaya Trail, ORLANDO, FL, 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000093475 | AFFINITY MED SPA & WELLNESS CENTER | ACTIVE | 2020-08-01 | 2025-12-31 | No data | 779 NORTH ALAFAYA TRAIL, ORLANDO, FL, 32828 |
| G18000060839 | VETTA STUDIOS | EXPIRED | 2018-05-21 | 2023-12-31 | No data | 2806 NORTHAMPTON AVE, ORLANDO, FL, 32828 |
| G13000029214 | AFFINITY HEALTH & WELLNESS CENTER | EXPIRED | 2013-03-25 | 2018-12-31 | No data | 875 NORTH ALAFAYA TRAIL, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-21 | 305 white Oak Way, Monroe, GA 30655 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-21 | 305 white Oak Way, Monroe, GA 30655 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-29 | BALDASARE, BRENT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-29 | 779 Alafaya Trail, Suite B, ORLANDO, FL 32828 | No data |
| MERGER | 2002-03-19 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000040889 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000291821 | TERMINATED | 1000000822312 | ORANGE | 2019-04-10 | 2029-04-24 | $ 399.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000291052 | TERMINATED | 1000000821131 | ORANGE | 2019-04-05 | 2029-04-24 | $ 836.90 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-01-29 |
| AMENDED ANNUAL REPORT | 2021-11-03 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
