| Entity Name: | EAR, NOSE & THROAT SPECIALISTS OF ST. CLOUD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jul 2008 (17 years ago) |
| Date of dissolution: | 03 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Apr 2017 (8 years ago) |
| Document Number: | L08000071359 |
| FEI/EIN Number | 263041997 |
| Address: | 10107 Wittenberg way, ORLANDO, FL, 32832, US |
| Mail Address: | 10107 Wittenberg way, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982860482 | 2008-08-04 | 2010-12-08 | 7575 DR. PHILLIPS BLVD, SUITE 10, ORLANDO, FL, 328197221, US | 7575 DR. PHILLIPS BLVD, SUITE 10, ORLANDO, FL, 328197221, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-992-9229 |
| Fax | 8779332424 |
Authorized person
| Name | DR. THUONG HOAL TRINH |
| Role | PHYSICIAN/OWNER |
| Phone | 4079929229 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | OS 10261 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | OS10261 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 488466 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRINH THUONG D | Agent | 10107 Wittenberg way, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| TRINH THUONG | Managing Member | 10107 WITTENBERG WAY, ORLANDO, FL, 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000158827 | DR. PHILLIPS EAR, NOSE, THROAT AND ALLERGY SPECIALISTS | EXPIRED | 2009-09-24 | 2014-12-31 | No data | 7575 DR. PHILLIPS BLVD SUITE 10, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-23 | 10107 Wittenberg way, ORLANDO, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-23 | 10107 Wittenberg way, ORLANDO, FL 32832 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-23 | 10107 Wittenberg way, ORLANDO, FL 32832 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-25 | TRINH, THUONG D.O. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-03 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-04-10 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-02-02 |
| ANNUAL REPORT | 2011-01-17 |
| ANNUAL REPORT | 2010-01-14 |
| ANNUAL REPORT | 2009-04-25 |
| Florida Limited Liability | 2008-07-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
