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SOUTH ORLANDO FAMILY PRACTICE & MEDICAL INJURY CENTER, LLC

Company Details

Entity Name: SOUTH ORLANDO FAMILY PRACTICE & MEDICAL INJURY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 25 Jul 2006 (19 years ago)
Date of dissolution: 14 Sep 2007 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 14 Sep 2007 (17 years ago)
Document Number: L06000073943
Address: 4401 S ORANGE AVE STE 116, ORLANDO, FL 32806
Mail Address: 4401 S ORANGE AVE STE 116, ORLANDO, FL 32806
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013020114 2006-08-16 2020-08-22 4401 S ORANGE AVE, #116, ORLANDO, FL, 328066946, US 4401 S ORANGE AVE, #116, ORLANDO, FL, 328066946, US

Contacts

Phone +1 407-850-2593
Fax 4078509645

Authorized person

Name DR. JOHN V MURRAY
Role PARTNER
Phone 4078502593

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary No
Taxonomy Code 207QA0000X - Adolescent Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary No
Taxonomy Code 207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary No

Agent

Name Role Address
W&P SERVICES, INC. Agent 450 N WYMORE ROAD, WINTER PARK, FL 32789

Manager

Name Role Address
MURRAY, JOHN Manager 4401 S ORANGE AVE STE 116, ORLANDO, FL 32806
BOLIVAR, WILLIAM Manager 4401 S ORANGE AVE STE 116, ORLANDO, FL 32806
VASSER, GARY Manager 4401 S ORANGE AVE STE 116, ORLANDO, FL 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
Florida Limited Liability 2006-07-25

Date of last update: 02 Jan 2025

Sources: Florida Department of State