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MAGIC CITY OB/GYN LLC

Company Details

Entity Name: MAGIC CITY OB/GYN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Mar 2013 (12 years ago)
Document Number: L13000044490
FEI/EIN Number 46-2426857
Address: 3200 HILLSDALE LN, KISSIMMEE, FL 34741
Mail Address: 3200 HILLSDALE LN, KISSIMMEE, FL 34741
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841873288 2021-05-04 2021-08-23 3200 HILLSDALE LN, KISSIMMEE, FL, 347417562, US 3200 HILLSDALE LN, KISSIMMEE, FL, 347417562, US

Contacts

Phone +1 407-273-8680

Authorized person

Name ARNALDO LOPEZ-ROMAN
Role PRESIDENT
Phone 4072738680

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes
Taxonomy Code 207VG0400X - Gynecology Physician
Is Primary No

Agent

Name Role Address
Lopez, Arnaldo, Dr. Agent 3200 HILLSDALE LN, KISSIMMEE, FL 34741

Authorized Member

Name Role Address
LOPEZ, ARNALDO Authorized Member 3200 HILLSDALE LN, KISSIMMEE, FL 34741
LOPEZ, ILKANIA Authorized Member 3200 HILLSDALE LN, KISSIMMEE, FL 34741

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-21 3200 HILLSDALE LN, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2023-03-21 3200 HILLSDALE LN, KISSIMMEE, FL 34741 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-21 3200 HILLSDALE LN, KISSIMMEE, FL 34741 No data
REGISTERED AGENT NAME CHANGED 2014-01-18 Lopez, Arnaldo, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-26
ANNUAL REPORT 2015-01-25

Date of last update: 22 Jan 2025

Sources: Florida Department of State