| Entity Name: | FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Sep 2007 (17 years ago) |
| Date of dissolution: | 13 Jan 2011 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jan 2011 (14 years ago) |
| Document Number: | L07000097539 |
| FEI/EIN Number | 770699953 |
| Address: | 1603 S HIAWASSEE, 115, ORLANDO, FL, 32835 |
| Mail Address: | 1603 S HIAWASSEE, 115, ORLANDO, FL, 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730378241 | 2007-10-21 | 2008-07-24 | 1603 S HIAWASSEE RD, SUITE 115, ORLANDO, FL, 328356438, US | 1603 S HIAWASSEE RD, SUITE 115, ORLANDO, FL, 328356438, US | |||||||||||||||||||||||||
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| Phone | +1 407-299-6700 |
| Fax | 4072992265 |
Authorized person
| Name | MR. DENNIS GEORGE GAY II |
| Role | PRESIDENT / CEO |
| Phone | 4074511849 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | PA9102434 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PRIMARY TAXONOMY |
| Number | 173000000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAY DENNIS G | Agent | 7807 CANYON LAKE CIRCLE, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| GAY DENNIS G | Managing Member | 1603 S HIAWASSEE, SUITE 115, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| GAY DENNIS G | Vice President | 1603 S HIAWASSEE, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| GAY BARBARA A | Secretary | 1603 S HIAWASSEE, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| GAY BARBARA A | Treasurer | 1603 S HIAWASSEE, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2011-01-13 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-08 | 7807 CANYON LAKE CIRCLE, 1514, ORLANDO, FL 32835 | No data |
| LC AMENDMENT | 2008-01-25 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-01-13 |
| ANNUAL REPORT | 2010-02-08 |
| ANNUAL REPORT | 2009-04-12 |
| ANNUAL REPORT | 2008-09-02 |
| LC Amendment | 2008-01-25 |
| Florida Limited Liability | 2007-09-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
