| Entity Name: | CFP CARE TEAM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Apr 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Nov 2022 (2 years ago) |
| Document Number: | L08000033824 |
| FEI/EIN Number | 331210464 |
| Address: | 985 State Road 436, CASSELBERRY, FL, 32707, US |
| Mail Address: | 985 State Road 436, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629242250 | 2008-04-15 | 2019-04-10 | 985 STATE ROAD 436, CASSELBERRY, FL, 327075664, US | 985 STATE ROAD 436, CASSELBERRY, FL, 327075664, US | |||||||||||||||||||||
|
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| Phone | +1 407-831-5252 |
| Fax | 4078313765 |
Authorized person
| Name | ADRIAN L BURROWES |
| Role | CEO |
| Phone | 4078315252 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004020600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Burrowes Adrian Dr. | Agent | 985 State Road 436, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| Burrowes Adrian L | Chief Executive Officer | 985 State Road 436, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| Nagalapadi Venkatesh P | President | 985 State Road 436, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| Balasubramanian Akila | Vice President | 985 State Road 436, Casselberry, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| Cerveny David | Chief Operating Officer | 985 State Road 436, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-15 | Burrowes, Adrian, Dr. | No data |
| REINSTATEMENT | 2022-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 985 State Road 436, CASSELBERRY, FL 32707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-16 | 985 State Road 436, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 985 State Road 436, CASSELBERRY, FL 32707 | No data |
| REINSTATEMENT | 2018-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-15 |
| REINSTATEMENT | 2022-11-07 |
| ANNUAL REPORT | 2021-01-28 |
| AMENDED ANNUAL REPORT | 2020-05-18 |
| AMENDED ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| REINSTATEMENT | 2018-10-08 |
| ANNUAL REPORT | 2017-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
