Entity Name: | OVIEDO MEDICAL CLINIC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 27 Jul 2012 (13 years ago) |
Document Number: | L12000097318 |
FEI/EIN Number | 46-0676483 |
Address: | 1791 EAST BROADWAY STREET, OVIEDO, FL, 33765, US |
Mail Address: | 1791 EAST BROADWAY STREET, OVIEDO, FL, 33765, US |
ZIP code: | 33765 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841536703 | 2012-12-21 | 2012-12-21 | 1791 E BROADWAY ST, OVIEDO, FL, 327659744, US | 1791 E BROADWAY ST, OVIEDO, FL, 327659744, US | |||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-359-2757 |
Fax | 4073597464 |
Authorized person
Name | DR. ERIC JANOWITZ |
Role | PRESIDENT/OWNER |
Phone | 4073592757 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH8042 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH10002 |
State | FL |
Is Primary | No |
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME 102682 |
State | FL |
Is Primary | No |
Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
License Number | ARNP 1518717 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
JANOWITZ ERIC | Agent | 1538 BLUWATER RUN, CHULUOTA, FL, 32766 |
Name | Role | Address |
---|---|---|
JANOWITZ ERIC | Managing Member | 1538 BLUEWATER RUN, CHULUOTA, FL, 32766 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000083943 | SYNERGY OVIEDO CHIROPRACTIC | EXPIRED | 2015-08-13 | 2020-12-31 | No data | 1791 EAST BROADWAY STREET, OVIEDO, FL, 32765 |
G12000107394 | SYNERGY FAMILY HEALTH | EXPIRED | 2012-11-06 | 2017-12-31 | No data | 1791 EAST BROADWAY STREET, OVIEDO, FL, 32765 |
G12000106111 | OVIEDO HEALTH | EXPIRED | 2012-11-01 | 2017-12-31 | No data | 1791 EAST BROADWAY STREET, OVIEDO, FL, 32765 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2023-03-06 | JANOWITZ, ERIC | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 1538 BLUWATER RUN, CHULUOTA, FL 32766 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-09 |
ANNUAL REPORT | 2023-03-06 |
ANNUAL REPORT | 2022-02-08 |
ANNUAL REPORT | 2021-04-14 |
ANNUAL REPORT | 2020-02-18 |
ANNUAL REPORT | 2019-03-25 |
ANNUAL REPORT | 2018-02-27 |
ANNUAL REPORT | 2017-03-31 |
ANNUAL REPORT | 2016-03-31 |
ANNUAL REPORT | 2015-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State