| Entity Name: | ADVANCED WOMEN'S UROLOGY AND GYNECOLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Jan 2013 (12 years ago) |
| Document Number: | L11000141495 |
| FEI/EIN Number | 454355265 |
| Address: | 260 Lookout Place, Maitland, FL, 32751, US |
| Mail Address: | 260 Lookout Place, Maitland, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033478755 | 2012-05-15 | 2012-05-15 | 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA, 900771726, US | 2501 N ORANGE AVE, SUITE 210, ORLANDO, FL, 328044603, US | |||||||||||||||
|
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| Phone | +1 310-474-9809 |
| Phone | +1 407-898-9804 |
Authorized person
| Name | DR. KRISTIN M. JACKSON |
| Role | OWNER |
| Phone | 4078989804 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| F&L CORP | Agent | ONE INDEPENDENT DRIVE, SUITE 1300, JACKSONVILLE, FL, 322025017 |
| Name | Role | Address |
|---|---|---|
| JACKSON KRISTIN | Manager | 2501 N. ORANGE AVE, SUITE 210, ORLANDO, FL, 32804 |
| Jackson Richard | Manager | 260 Lookout Place, Maitland, FL, 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000017817 | ADVANCED UROGYNECOLOGY | EXPIRED | 2012-02-21 | 2017-12-31 | No data | 2501 N. ORANGE AVENUE, SUITE 210, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-23 | 260 Lookout Place, Suite 201, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-23 | 260 Lookout Place, Suite 201, Maitland, FL 32751 | No data |
| REINSTATEMENT | 2013-01-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
