| Entity Name: | MID FLORIDA MEDICAL & CHIROPRACTIC CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Oct 2009 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L09000098938 |
| FEI/EIN Number | 27-1106247 |
| Address: | 1515 Lake Whitney Drive, Windermere, FL 34786 |
| Mail Address: | 1515 Lake Whitney Drive, Windermere, FL 34786 |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831428309 | 2009-12-13 | 2012-11-29 | 100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL, 347412332, US | 100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL, 347412372, US | |||||||||||||||||
|
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| Phone | +1 407-847-8900 |
Authorized person
| Name | RACHAEL GALLO |
| Role | OWNER |
| Phone | 4075660177 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUNDERLAND, DEREK | Agent | 1515 Lake Whitney Drive, Windermere, FL 34786 |
| Name | Role | Address |
|---|---|---|
| SUNDERLAND, DEREK | Manager | 1515 Lake Whitney Drive, Windermere, FL 34786 |
| SUNDERLAND, YVONNE | Manager | 1515 Lake Whitney Drive, Windermere, FL 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000111417 | MID FLORIDA MEDICAL AND CHIROPRACTIC CLINIC | EXPIRED | 2013-11-13 | 2018-12-31 | No data | 100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-23 | 1515 Lake Whitney Drive, Windermere, FL 34786 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-23 | 1515 Lake Whitney Drive, Windermere, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-23 | 1515 Lake Whitney Drive, Windermere, FL 34786 | No data |
| LC AMENDMENT | 2013-01-09 | No data | No data |
| LC AMENDMENT | 2011-11-07 | No data | No data |
| LC AMENDMENT | 2010-01-29 | No data | No data |
| LC AMENDMENT | 2009-11-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-03-18 |
| LC Amendment | 2013-01-09 |
| ANNUAL REPORT | 2012-01-23 |
| LC Amendment | 2011-11-07 |
| CORLCMMRES | 2011-07-06 |
| ANNUAL REPORT | 2011-01-06 |
| LC Amendment | 2010-01-29 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
