| Entity Name: | PRIMECARE LAKE NONA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIMECARE LAKE NONA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Mar 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (10 years ago) |
| Document Number: | L11000037871 |
| FEI/EIN Number |
451447378
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10437 MOSS PARK ROAD, SUITE B, ORLANDO, FL, 32832 |
| Mail Address: | 222 BROADWAY, KISSIMMEE, FL, 34741, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205128642 | 2011-05-04 | 2018-06-20 | 222 BROADWAY, SUITE 302, KISSIMMEE, FL, 34741, US | 10437 MOSS PARK RD, ORLANDO, FL, 328325812, US | |||||||||||||||||||||||
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| Phone | +1 407-846-8180 |
| Fax | 4073474858 |
Authorized person
| Name | MS. JAIME DANIELS |
| Role | CEO |
| Phone | 4078468180 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME36463 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Chappel Christopher MDr. | Manager | 4900 Manor House Lane, St. Cloud, FL, 34772 |
| CHAPPEL CHRISTOPHER MDr. | Agent | 222 BROADWAY SUITE 302, KISSIMMEE, FL, 34741 |
| CHAPPEL FAMILY PRACTICE LLC | Manager | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000048656 | CHAPPEL FAMILY PRACTICE AT LAKE NONA | EXPIRED | 2013-05-23 | 2018-12-31 | - | 10437 MOSS PARK ROAD, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 10437 MOSS PARK ROAD, SUITE B, ORLANDO, FL 32832 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | CHAPPEL, CHRISTOPHER M, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-01 | 222 BROADWAY SUITE 302, KISSIMMEE, FL 34741 | - |
| LC AMENDMENT | 2013-02-04 | - | - |
| LC AMENDMENT | 2011-04-11 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-01 |
| LC Amendment | 2013-02-04 |
| ANNUAL REPORT | 2012-04-18 |
| LC Amendment | 2011-04-11 |
| Florida Limited Liability | 2011-03-30 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
