| Entity Name: | MACDERMOTT GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Oct 2008 (16 years ago) |
| Document Number: | L08000096266 |
| FEI/EIN Number | 263570701 |
| Address: | 2940 Mallory Circle, Suite 205, Kissimmee, FL, 34747, US |
| Mail Address: | 2940 Mallory Circle Suite 205, Kissimmee, FL, 34747, US |
| ZIP code: | 34747 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689902199 | 2009-11-20 | 2024-06-04 | 2940 MALLORY CIR STE 205, KISSIMMEE, FL, 347471818, US | 2940 MALLORY CIR STE 205, KISSIMMEE, FL, 347471818, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 407-507-6976 |
Authorized person
| Name | DR. JEREMY GOOD |
| Role | CHIROPRACTOR |
| Phone | 8436976994 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP NPI |
| Number | 1689902199 |
| State | FL |
| Issuer | BCBS |
| Number | 2201B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Good Jeremy Dr. | Agent | 2940 Mallory Circle, Kissimmee, FL, 34747 |
| Name | Role | Address |
|---|---|---|
| GOOD JEREMY DR | Managing Member | 2490 MALLORY CIRCLE, Kissimmee, FL, 34747 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000126181 | ORLANDO RESORTS SPINE AND BODY | ACTIVE | 2023-10-11 | 2028-12-31 | No data | 2940 MALLORY CIR, SUITE 205, KISSIMMEE, FL, 34747 |
| G21000014384 | ORLANDO RESORTS CHIROPRACTIC | ACTIVE | 2021-01-29 | 2026-12-31 | No data | 2940 MALLORY CIRCLE, STE 205, CELEBRATION, FL, 34747 |
| G21000014396 | ORLANDO RESORTS CHIROPRACTIC MEDISPA | ACTIVE | 2021-01-29 | 2026-12-31 | No data | ORLANDO RESORTS CHIROPRACIC, 2940 MALLORY CIRCLE STE 205, CELEBRATION, FL, 34747 |
| G19000014257 | ORLANDO RESORTS MEDISPA | EXPIRED | 2019-01-27 | 2024-12-31 | No data | 2940 MALLORY CIRCCLE, SUITE 205, CELEBRATION, FL, 34747 |
| G19000014259 | ORLANDO RESORTS CHIROPRACTIC | EXPIRED | 2019-01-27 | 2024-12-31 | No data | 2940 MALLORY CIRCLE, SUITE 205, CELEBRATION, FL, 34747 |
| G14000050872 | MACDERMOTT GROUP LLC | EXPIRED | 2014-05-24 | 2019-12-31 | No data | 2940 MALLORY CIRCLE STE 205, CELEBRATION, FL, 34747 |
| G14000016243 | CELEBRATION MEDISPA | EXPIRED | 2014-02-14 | 2019-12-31 | No data | 2940 MALLORY CIRCLE STE 205, CELEBRATION, FL, 34747 |
| G13000004057 | ORLANDO RESORTS MEDISPA | EXPIRED | 2013-01-11 | 2018-12-31 | No data | ORLANDO RESORTS CHIROPRACTIC, 1530 CELEBRATION BLVD STE 403, CELEBRATION, FL, 34747 |
| G08295900190 | A TRAVELER'S AID | EXPIRED | 2008-10-21 | 2013-12-31 | No data | 1018 WILD ELM STREET, CELEBRATION, FL, 34747 |
| G08295900187 | ORLANDO RESORTS CHIROPRACTIC | EXPIRED | 2008-10-21 | 2013-12-31 | No data | 1018 WILD ELM STREET, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-07 | 2940 Mallory Circle, Suite 205, Kissimmee, FL 34747 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-07 | 2940 Mallory Circle, Suite 205, Kissimmee, FL 34747 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-07 | 2940 Mallory Circle, Suite 205, Kissimmee, FL 34747 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-07-27 | Good, Jeremy, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-07-16 |
| AMENDED ANNUAL REPORT | 2023-10-19 |
| ANNUAL REPORT | 2023-08-07 |
| ANNUAL REPORT | 2022-03-02 |
| AMENDED ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
