| Entity Name: | MEDICAL CLINIC OF OSCEOLA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Mar 2021 (4 years ago) |
| Document Number: | L09000040767 |
| FEI/EIN Number | 900410445 |
| Address: | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 34746 |
| Mail Address: | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 34746 |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427204502 | 2008-08-08 | 2008-10-30 | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 347466558, US | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 347466558, US | |||||||||||||||||||
|
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| Phone | +1 407-931-1998 |
| Fax | 4079310522 |
Authorized person
| Name | DR. CONRADO ELYERAN TALAMPAS |
| Role | OWNER |
| Phone | 4079311998 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME84870 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TALAMPAS CONRADO M | Agent | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| TALAMPAS CONRADO M | Managing Member | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| PILARES RACHEL R | Officer | 1506 VILLAGE OAK LN, KISSIMMEE, FL, 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-03-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-12 | TALAMPAS, CONRADO M.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-21 |
| REINSTATEMENT | 2021-03-12 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
