| Entity Name: | MEDI WINTER PARK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jul 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L09000068533 |
| FEI/EIN Number | 270560859 |
| Address: | 1234 W FAIRBANKS AVE, WINTER PARK, FL, 32789 |
| Mail Address: | P.O. BOX 832, LAKE WALES, FL, 33859 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588086953 | 2014-01-20 | 2016-06-02 | 1234 W FAIRBANKS AVE, WINTER PARK, FL, 327894890, US | 1234 W FAIRBANKS AVE, WINTER PARK, FL, 327894890, US | |||||||||||||
|
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| Phone | +1 407-673-5555 |
Authorized person
| Name | CHRISTOPHER TRACY |
| Role | PRESIDENT |
| Phone | 4072565119 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STRAUGHN RICHARD E | Agent | 255 MAGNOLIA AVENUE, WINTER HAVEN, FL, 33883 |
| Name | Role | Address |
|---|---|---|
| SHORTLY J. TIMOTHY | Manager | P.O. BOX 832, LAKE WALES, FL, 33859 |
| TRACY CHRISTOPHER | Manager | 1234 W FAIRBANKS AVE, WINTER PARK, FL, 32789 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000084884 | MEDI-WEIGHTLOSS OF WINTER PARK | EXPIRED | 2015-08-17 | 2020-12-31 | No data | 1234 W FAIRBANKS AVE, WINTER PARK, FL, 32789 |
| G09000139660 | MEDI-WEIGHTLOSS CLINICS OF WINTER PARK | EXPIRED | 2009-07-28 | 2014-12-31 | No data | 5931 BRICK COURT STE100, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-31 | 1234 W FAIRBANKS AVE, WINTER PARK, FL 32789 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-11 |
| ANNUAL REPORT | 2014-04-02 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-03-31 |
| ANNUAL REPORT | 2010-03-29 |
| ADDRESS CHANGE | 2009-07-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
