| Entity Name: | MARHOLIN MEDICAL INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Aug 2005 (19 years ago) |
| Document Number: | L05000083100 |
| FEI/EIN Number | 203397401 |
| Address: | 4327 S HIGHWAY 27, STE 605, CLERMONT, FL, 34711, US |
| Mail Address: | 4327 SOUTH HIGHWAY 27, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548500812 | 2013-02-25 | 2013-02-25 | 4327 S HIGHWAY 27, CLERMONT, FL, 347115349, US | 17307 PAGONIA DR, SUITE 100, CLERMONT, FL, 347115932, US | |||||||||||||||||
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| Phone | +1 352-989-5901 |
Authorized person
| Name | DR. MAURICE D MARHOLIN |
| Role | PRESIDENT |
| Phone | 3529895901 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS 7330 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARHOLIN MAURICE D | Agent | 4327 SOUTH HIGHWAY 27, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MARHOLIN MAURICE D | Manager | 4327 SOUTH HIGHWAY 27, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-31 | 4327 S HIGHWAY 27, STE 605, Unit G, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-12 | 4327 S HIGHWAY 27, STE 605, Unit G, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-12 | 4327 SOUTH HIGHWAY 27, #605, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-20 | MARHOLIN, MAURICE D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
