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PHYSICIANS TRUST MSO "LLC"

Company Details

Entity Name: PHYSICIANS TRUST MSO "LLC"
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Oct 2010 (14 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 10 Mar 2014 (11 years ago)
Document Number: L10000111388
FEI/EIN Number 27-3761655
Mail Address: 1101 N. LAKE DESTINY RD, SUITE 300, MAITLAND, FL 32751
Address: 1101 N. LAKE DESTINY RD, SUITE. 300, MAITLAND, FL 32751
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467870311 2014-03-28 2014-03-28 1101 N LAKE DESTINY DR, SUITE 300, MAITLAND, FL, 327517114, US 1101 N LAKE DESTINY DR, SUITE 300, MAITLAND, FL, 327517114, US

Contacts

Phone +1 407-475-9213
Fax 4074759203

Authorized person

Name MR. LARRY E. JONES
Role CEO
Phone 4074759213

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
HPOF HOLDINGS, LLC Agent

Manager

Name Role Address
JONES, LARRY E Manager 1101 N. LAKE DESTINY RD, SUITE 300 MAITLAND, FL 32751

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-15 1101 N. LAKE DESTINY RD, SUITE. 300, MAITLAND, FL 32751 No data
CHANGE OF MAILING ADDRESS 2016-04-15 1101 N. LAKE DESTINY RD, SUITE. 300, MAITLAND, FL 32751 No data
LC STMNT OF RA/RO CHG 2014-03-10 No data No data
REGISTERED AGENT NAME CHANGED 2014-03-10 HPOF HOLDINGS LLC No data
REGISTERED AGENT ADDRESS CHANGED 2013-07-17 1101 N. LAKE DESTINY RD., SUITE 300, MAITLAND, FL 32751 No data
LC AMENDMENT 2013-07-17 No data No data
LC AMENDMENT 2012-05-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-05-04
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-16

Date of last update: 24 Jan 2025

Sources: Florida Department of State