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