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OSCEOLA MEDICLINIC, LLC

Company Details

Entity Name: OSCEOLA MEDICLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 16 Jun 2010 (15 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: L10000064036
FEI/EIN Number 273020553
Address: 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL, 34758
Mail Address: 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL, 34758, US
ZIP code: 34758
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932412368 2010-07-14 2012-03-13 2497 TRAFALGAR BLVD, KISSIMMEE, FL, 347582551, US 2497 TRAFALGAR BLVD, KISSIMMEE, FL, 347582551, US

Contacts

Phone +1 407-350-4844
Fax 4073504839

Authorized person

Name DR. CAROL R GRANT
Role MEDICAL DIRECTOR
Phone 4073504844

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number ME 93125
State FL
Is Primary Yes

Agent

Name Role Address
THURDEKOOS ALEXANDER Agent 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL, 34758

Managing Member

Name Role Address
THURDEKOOS ALEXANDER Managing Member 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL, 34758

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CHANGE OF MAILING ADDRESS 2013-04-03 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL 34758 No data
REGISTERED AGENT NAME CHANGED 2013-04-03 THURDEKOOS, ALEXANDER No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-03 2497 TRAFALGAR BOULEVARD, KISSIMMEE, FL 34758 No data
LC AMENDMENT 2010-12-02 No data No data
LC AMENDMENT 2010-07-15 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2013-04-03
ANNUAL REPORT 2013-02-22
ANNUAL REPORT 2012-03-26
ANNUAL REPORT 2011-01-11
LC Amendment 2010-12-02
LC Amendment 2010-07-15
Florida Limited Liability 2010-06-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State