| Entity Name: | CENTRAL FLORIDA PRIMARY CARE, P.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2007 (18 years ago) |
| Document Number: | L07000009515 |
| FEI/EIN Number | 208310901 |
| Address: | 7345 WEST SANDLAKE RD, 222, ORLANDO, FL, 32819, UN |
| Mail Address: | 7345 WEST SANDLAKE RD, 222, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609059666 | 2007-12-13 | 2024-06-17 | PO BOX 884, WINDERMERE, FL, 347860884, US | 7345 W SAND LAKE RD STE 206, ORLANDO, FL, 328195280, US | |||||||||||||||||||||||||
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| Phone | +1 407-248-8862 |
| Fax | 4072488863 |
Authorized person
| Name | DR. WILLIAM MUNOZ |
| Role | OWNER |
| Phone | 4072488862 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME94731 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003529000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNOZ WILLIAM | Agent | 7345 WEST SANDLAKE RD, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| MUNOZ WILLIAM | Managing Member | 7345 WEST SANDLAKE RD # 222, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-19 | 7345 WEST SANDLAKE RD, 222, ORLANDO, FL 32819 UN | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-19 | 7345 WEST SANDLAKE RD, 222, ORLANDO, FL 32819 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-19 | 7345 WEST SANDLAKE RD, 222, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
