Entity Name: | ORLANDO FAMILY MEDICAL CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 30 Oct 2007 (17 years ago) |
Date of dissolution: | 25 Sep 2009 (15 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2009 (15 years ago) |
Document Number: | L07000110046 |
FEI/EIN Number | 450579103 |
Address: | 5542 LAKE HOWELL ROAD, WINTER PARK, FL, 32792, US |
Mail Address: | 5542 LAKE HOWELL ROAD, WINTER PARK, FL, 32792, US |
ZIP code: | 32792 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588836670 | 2008-03-28 | 2008-03-28 | 5542 LAKE HOWELL RD, WINTER PARK, FL, 327921036, US | 5542 LAKE HOWELL RD, WINTER PARK, FL, 327921036, US | |||||||||||||||||||
|
Phone | +1 407-673-8999 |
Fax | 4076781246 |
Authorized person
Name | DR. JUAN C RICHARDS |
Role | MD |
Phone | 4076738999 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME25252 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RICHARDS JUAN C | Agent | 5542 LAKE HOWELL ROAD, WINTER PARK, FL, 32792 |
Name | Role | Address |
---|---|---|
RICHARDS JUAN C | Managing Member | 5542-46 LAKE HOWELL ROAD, WINTER PARK, FL, 32792 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
CANCEL ADM DISS/REV | 2008-10-08 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-10-08 | 5542 LAKE HOWELL ROAD, WINTER PARK, FL 32792 | No data |
CHANGE OF MAILING ADDRESS | 2008-10-08 | 5542 LAKE HOWELL ROAD, WINTER PARK, FL 32792 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
LC AMENDMENT | 2008-03-28 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2008-10-08 |
LC Amendment | 2008-03-28 |
Florida Limited Liability | 2007-10-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State