| Entity Name: | TOWN CENTER FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TOWN CENTER FAMILY MEDICINE, 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: | 12 Jun 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: | L12000078687 |
| FEI/EIN Number |
90-0856965
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 610 SYCAMORE STREET, CELEBRATION, FL, 34747, US |
| Mail Address: | 610 SYCAMORE STREET, CELEBRATION, FL, 34747, US |
| ZIP code: | 34747 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790047934 | 2012-06-13 | 2015-03-27 | 610 SYCAMORE ST, SUITE 130, CELEBRATION, FL, 347474995, US | 610 SYCAMORE ST, SUITE 130, CELEBRATION, FL, 347474995, US | |||||||||||||||||||||
|
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| Phone | +1 386-788-6616 |
Authorized person
| Name | CHAD BLACK |
| Role | OWNER/PARTNER |
| Phone | 3867886616 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME100993 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BLACK CHAD | Managing Member | 610 SYCAMORE ST., CELEBRATION, FL, 34747 |
| BLACK CHAD | Agent | 610 SYCAMORE STREET, CELEBRATION, FL, 34747 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000072199 | TOWN CENTER MEDICAL | EXPIRED | 2012-07-19 | 2017-12-31 | - | 610 SYCAMORE STREET, SUITE 130, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-10-13 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-12 | BLACK, CHAD | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-12 | 610 SYCAMORE STREET, STE. 130, CELEBRATION, FL 34747 | - |
| CHANGE OF MAILING ADDRESS | 2016-10-12 | 610 SYCAMORE STREET, STE. 130, CELEBRATION, FL 34747 | - |
| REINSTATEMENT | 2016-10-12 | - | - |
| LC REVOCATION OF DISSOLUTION | 2016-10-12 | - | - |
| LC VOLUNTARY DISSOLUTION | 2016-06-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-11 | 610 SYCAMORE STREET, STE. 130, CELEBRATION, FL 34747 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000082701 | ACTIVE | 1000000771617 | OSCEOLA | 2018-02-19 | 2028-02-28 | $ 421.07 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J18000013805 | ACTIVE | 1000000764147 | OSCEOLA | 2017-12-15 | 2028-01-10 | $ 1,422.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J16000235535 | ACTIVE | 1000000707551 | OSCEOLA | 2016-03-11 | 2026-04-06 | $ 1,700.38 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| Reinstatement | 2016-10-12 |
| LC Revocation of Dissolution | 2016-10-12 |
| LC Voluntary Dissolution | 2016-06-27 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-11 |
| Florida Limited Liability | 2012-06-12 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
