| Entity Name: | MEDICAID PROVIDERS NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDICAID PROVIDERS NETWORK, 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: | 02 May 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L12000058969 |
| FEI/EIN Number |
45-5191674
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3923-3927 Rosewood Way, ORLANDO, FL, 32808, US |
| Mail Address: | P.O. BOX 951659, LAKE MARY, FL, 32795-1659, US |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710325709 | 2013-06-12 | 2013-06-12 | PO BOX 951659, LAKE MARY, FL, 327951659, US | 2840 N HIAWASSEE RD, 428, ORLANDO, FL, 328183319, US | |||||||||||||||||||
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| Phone | +1 407-921-2074 |
| Fax | 4072648686 |
Authorized person
| Name | JASVENDAR SINGH NANDRA |
| Role | CEO |
| Phone | 4079212074 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | ME85696 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NANDRA JASVENDAR S | Manager | 3923-3927 Rosewood Way, ORLANDO, FL, 32808 |
| Nandra Jasvendar SDr. | Agent | 3923-3927 Rosewood Way, ORLANDO, FL, 32808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-29 | 3923-3927 Rosewood Way, ORLANDO, FL 32808 | - |
| REGISTERED AGENT NAME CHANGED | 2016-04-29 | Nandra, Jasvendar S, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-29 | 3923-3927 Rosewood Way, ORLANDO, FL 32808 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-30 |
| Florida Limited Liability | 2012-05-02 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
