| Entity Name: | ADVANCED INTEGRATED CARE ORGANIZATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Oct 2012 (12 years ago) |
| Date of dissolution: | 17 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jun 2020 (5 years ago) |
| Document Number: | L12000138513 |
| FEI/EIN Number | 46-2481557 |
| Address: | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812, US |
| Mail Address: | PO BOX 1089, HIGHLAND CITY, FL, 33846, US |
| ZIP code: | 33812 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891182143 | 2015-04-23 | 2015-04-23 | PO BOX 1089, HIGHLAND CITY, FL, 338461089, US | 5423 S. FLORIDA AVE, LAKELAND, FL, 33813, US | |||||||||||||
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| Phone | +1 863-797-0053 |
Authorized person
| Name | SANDRA M CARDONA |
| Role | MEMBER |
| Phone | 8637970053 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| D DAVID M | Agent | 225 E. LEMON STREET, LAKELAND, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| CARDONA SANDRA M | Manager | 5425 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813 |
| Romero Carlos Dr. | Manager | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-17 | No data | No data |
| LC STMNT OF RA/RO CHG | 2015-09-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-09-11 | D, DAVID MILLER | No data |
| LC AMENDMENT | 2012-11-05 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-17 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-21 |
| AMENDED ANNUAL REPORT | 2017-06-27 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-02-28 |
| CORLCRACHG | 2015-09-11 |
| ANNUAL REPORT | 2015-02-13 |
| ANNUAL REPORT | 2014-03-20 |
| Reg. Agent Change | 2013-12-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
