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MEDICAL HOME ALLIANCE, LLC - Florida Company Profile

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Company Details

Entity Name: MEDICAL HOME ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MEDICAL HOME ALLIANCE, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Dec 2012 (13 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 20 Nov 2024 (7 months ago)
Document Number: L12000161940
FEI/EIN Number 46-1640939

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6675 Westwood Blvd., Ste 475, Orlando, FL, 32821, US
Mail Address: 6675 Westwood Blvd., Ste 475, Orlando, FL, 32821, US
ZIP code: 32821
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ct corporation system Agent 1200 south pine island rd, plantation, FL, 33324
Liebermann Ethan Manager 200 Claredon Street, Boston, MA, 02116
Carter Mark Manager 200 Claredon Street, Boston, MA, 02116
Walker Donna Manager 6675 Westwood Blvd., Orlando, FL, 32821
Pichardo Nelson M Manager 6675 Westwood Blvd., Orlando, FL, 32821
Skobel Jeffrey Manager 6675 Westwood Blvd., Orlando, FL, 32821

National Provider Identifier

NPI Number:
1548917404
Certification Date:
2022-02-23

Authorized Person:

Name:
VANESSA HOURIHAN
Role:
VP REVENUE CYCLE
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
461640939
Plan Year:
2018
Number Of Participants:
80
Plan Year:
2017
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
25
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000152399 IMA MEDICAL CLINIC ACTIVE 2024-12-16 2029-12-31 - 6675 WESTWOOD BLVD STE 475, ORLANDO, FL, 32821
G24000132580 IMA MEDICAL CENTER ACTIVE 2024-10-29 2029-12-31 - 6675 WESTWOOD BLVD STE 475, ORLANDO, FL, 32821
G24000096232 IMA WELLNESS CENTER ACTIVE 2024-08-13 2029-12-31 - 6675 WESTWOOD BLVD STE 475, ORLANDO, FL, 32821
G24000084227 THE PICHARDO CLINIC ACTIVE 2024-07-15 2029-12-31 - 6675 WESTWOOD BLVD STE 475, ORLANDO, FL, 32821
G24000084229 TOTAL PATIENT CARE ACTIVE 2024-07-15 2029-12-31 - 6675 WESTWOOD BLVD STE 475, ORLANDO, FL, 32821
G18000024485 IMA MEDICAL GROUP ACTIVE 2018-02-16 2028-12-31 - 6675 WESTWOOD BLVD, 475, ORLANDO, FL, 32821
G16000066593 IMA FAMILY MEDICAL EXPIRED 2016-07-06 2021-12-31 - 111 WEBB DRIVE, DAVENPORT, FL, 33837
G13000105361 IMA MEDICAL CENTER EXPIRED 2013-10-25 2018-12-31 - 8367 VIA ROSA, APT/SUITE, ORLANDO, FL, 32836
G13000039477 IMA WELLNESS CENTER EXPIRED 2013-04-24 2018-12-31 - 111 WEBB DRIVE, SUITE 2, DAVENPORT, FL, 33837
G13000039478 IMA MEDICAL CENTER EXPIRED 2013-04-24 2018-12-31 - 111 WEBB DRIVE, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
MERGER 2024-11-20 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000260817
CHANGE OF PRINCIPAL ADDRESS 2024-03-25 6675 Westwood Blvd., Ste 475, Orlando, FL 32821 -
CHANGE OF MAILING ADDRESS 2024-03-25 6675 Westwood Blvd., Ste 475, Orlando, FL 32821 -
MERGER 2021-01-19 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000209755
MERGER 2021-01-14 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000209751
MERGER 2021-01-04 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000209391
REGISTERED AGENT ADDRESS CHANGED 2019-03-18 1200 south pine island rd, plantation, FL 33324 -
LC STMNT OF RA/RO CHG 2019-03-18 - -
REGISTERED AGENT NAME CHANGED 2019-03-18 ct corporation system -
LC AMENDMENT 2018-12-20 - -

Documents

Name Date
Merger 2024-11-20
AMENDED ANNUAL REPORT 2024-10-28
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-01-25
AMENDED ANNUAL REPORT 2022-07-06
ANNUAL REPORT 2022-03-31
AMENDED ANNUAL REPORT 2021-05-05
Merger 2021-01-19
Merger 2021-01-14
ANNUAL REPORT 2021-01-14

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Date of last update: 01 Jul 2025

Sources: Florida Department of State