| Entity Name: | ORLANDO MEDICAL GROUP, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Nov 2019 (5 years ago) |
| Document Number: | L05000111439 |
| FEI/EIN Number | 203808315 |
| Address: | 841 OAKLEY SEAVER DRIVE, UNIT A, CLERMONT, FL, 34711 |
| Mail Address: | 841 OAKLEY SEAVER DRIVE, UNIT A, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295749141 | 2006-07-28 | 2009-05-13 | 841 OAKLEY SEAVER DRIVE, UNIT A, CLERMONT, FL, 347111971, US | 841 OAKLEY SEAVER DRIVE, UNIT A, CLERMONT, FL, 347111971, US | |||||||||||||||||||||
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| Phone | +1 352-241-0037 |
| Fax | 3522410067 |
Authorized person
| Name | INDRA RAMLACHAN |
| Role | OFFICE MANAGER |
| Phone | 3522410037 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273904600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAWH ANNIL CMD. | Agent | 841 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| SAWH ANNIL CMD | Managing Member | 841 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-06 | 841 OAKLEY SEAVER DRIVE, UNIT A, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-06 | SAWH, ANNIL C, MD. | No data |
| REINSTATEMENT | 2019-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-11-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-08-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2014-04-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-03-23 |
| REINSTATEMENT | 2019-11-05 |
| REINSTATEMENT | 2018-11-20 |
| REINSTATEMENT | 2017-08-02 |
| ANNUAL REPORT | 2015-03-22 |
| REINSTATEMENT | 2014-04-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1077487404 | 2020-05-03 | 0491 | PPP | 841 Oakley Seaver Drive Ste 1, Clermont, FL, 34711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
