| Entity Name: | CENTRAL FLORIDA INTERNAL MEDICINE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CENTRAL FLORIDA INTERNAL MEDICINE ASSOCIATES, LLC 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: | 23 Jun 2006 (19 years ago) |
| Date of dissolution: | 14 Jan 2021 (4 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 14 Jan 2021 (4 years ago) |
| Document Number: | L06000064827 |
| FEI/EIN Number |
205104499
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6675 Westwood Boulevard, Orlando, FL, 32821, US |
| Mail Address: | 6675 Westwood Boulevard, Orlando, FL, 32821, US |
| ZIP code: | 32821 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699948133 | 2008-04-04 | 2008-04-04 | 2000 OSPREY BLVD, STE 109, BARTOW, FL, 338304347, US | 2000 OSPREY BLVD, STE 109, BARTOW, FL, 338304347, US | |||||||||||||||||||||||||
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| Phone | +1 863-533-2850 |
| Fax | 8635195616 |
Authorized person
| Name | DR. SAM M KORLEY |
| Role | PRESIDENT |
| Phone | 8635332850 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME67759 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 28191 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Carter Mark | Manager | 200 Claredon Street, Boston, MA, 02116 |
| Cremata Armando | Manager | 6675 Westwood Boulevard, Orlando, FL, 32821 |
| Liebermann Ethan | Manager | 200 Claredon Street, Boston, MA, 02116 |
| Pichardo Nelson | Manager | 6675 Westwood Boulevard, Orlando, FL, 32821 |
| Pichardo Patricia | Manager | 6675 Westwood Boulevard, Orlando, FL, 32821 |
| Rodriguez Sarah | Manager | 6675 Westwood Boulevard, Orlando, FL, 32821 |
| CT Corporation SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2021-01-14 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000161940. MERGER NUMBER 100000209751 |
| MERGER | 2021-01-04 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000161940. MERGER NUMBER 700000209677 |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-19 | 6675 Westwood Boulevard, Suite 475, Orlando, FL 32821 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-19 | 6675 Westwood Boulevard, Suite 475, Orlando, FL 32821 | - |
| LC AMENDMENT AND NAME CHANGE | 2019-05-17 | CENTRAL FLORIDA INTERNAL MEDICINE ASSOCIATES, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-18 | 1200 SOUTH PINE ISLAND RD, PLANTATION, FL 33324 | - |
| LC STMNT OF RA/RO CHG | 2019-03-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-03-18 | CT Corporation SYSTEM | - |
| LC AMENDMENT | 2018-12-20 | - | - |
| CANCEL ADM DISS/REV | 2008-01-07 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-19 |
| LC Amendment and Name Change | 2019-05-17 |
| ANNUAL REPORT | 2019-04-23 |
| CORLCRACHG | 2019-03-18 |
| LC Amendment | 2018-12-20 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-02-28 |
| AMENDED ANNUAL REPORT | 2016-05-04 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
