| Entity Name: | MARGARITA CORREA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 May 2007 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Mar 2011 (14 years ago) |
| Document Number: | L07000054076 |
| FEI/EIN Number | 260212222 |
| Address: | 720 ALMOND STREET, CLERMONT, FL, 34711, US |
| Mail Address: | 720 ALMOND STREET, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841483393 | 2007-08-18 | 2018-03-17 | 720 ALMOND ST, CLERMONT, FL, 347113124, US | 720 ALMOND ST, CLERMONT, FL, 347113124, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 352-404-6959 |
| Fax | 3524046960 |
Authorized person
| Name | MARGARITA CORREA-PEREZ |
| Role | PRESIDENT |
| Phone | 3524046959 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME89844 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2081P0010X - Pediatric Rehabilitation Medicine Physician |
| License Number | ME89844 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002064300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Margarita Correa | Agent | 720 ALMOND STREET, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| CORREA MARGARITA | Managing Member | 720 ALMOND ST, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000114075 | PHYSICAL MEDICINE INSTITUTE | ACTIVE | 2015-11-09 | 2025-12-31 | No data | 720 ALMOND ST, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-06 | 720 ALMOND STREET, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-08-23 | Margarita , Correa | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-23 | 720 ALMOND STREET, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-08 | 720 ALMOND STREET, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-19 | 720 ALMOND STREET, CLERMONT, FL 34711 | No data |
| LC AMENDMENT | 2011-03-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-20 |
| AMENDED ANNUAL REPORT | 2021-08-23 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
