Search icon

IN HOME PHYSICIAN SERVICES, LLC

Company Details

Entity Name: IN HOME PHYSICIAN SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 09 Jul 2009 (16 years ago)
Date of dissolution: 25 Feb 2011 (14 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 25 Feb 2011 (14 years ago)
Document Number: L09000066093
FEI/EIN Number 270511286
Address: 1320 SOUTH ORLANDO AVE., STE 4, WINTER PARK, FL, 32789, US
Mail Address: 1320 SOUTH ORLANDO AVE., STE 4, WINTER PARK, FL, 32789, US
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538390935 2009-08-03 2009-08-03 1320 S ORLANDO AVE, SUITE 4, WINTER PARK, FL, 327895556, US 1320 S ORLANDO AVE, SUITE 4, WINTER PARK, FL, 327895556, US

Contacts

Phone +1 407-788-0455
Fax 4073890931

Authorized person

Name MR. CHAD W HALL
Role MBR
Phone 4077880455

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
HALL CHAD W Agent 1320 SOUTH ORLANDO AVE., WINTER PARK, FL, 32789

Managing Member

Name Role Address
FILE MATTHEW R Managing Member 501 FOX VALLEY DRIVE, LONGWOOD, FL, 32779
HALL CHAD W Managing Member 955 APPLE LANE, ALTAMONTE SPRINGS, FL, 32714
NAGARAJAN RAVI Managing Member 6000 TARAWOOD DRIVE, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2011-02-25 No data No data
LC AMENDMENT 2009-08-07 No data No data

Documents

Name Date
LC Voluntary Dissolution 2011-02-25
ANNUAL REPORT 2010-01-11
LC Amendment 2009-08-07
Florida Limited Liability 2009-07-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State