| Entity Name: | INTERNATIONAL MEDICAL CENTER HMO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Apr 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Feb 2020 (5 years ago) |
| Document Number: | L13000057453 |
| FEI/EIN Number | 46-2577642 |
| Address: | 9421 S ORANGE BLOSSOM TRAIL, STE 19, ORLANDO, FL 32837 |
| Mail Address: | 9421 S ORANGE BLOSSOM TRAIL, STE 19, ORLANDO, FL 32837 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912322777 | 2014-03-03 | 2022-07-21 | 10 NW 42ND AVE, SUITE # 600, MIAMI, FL, 331265473, US | 10 NW 42ND AVE, SUITE # 600, MIAMI, FL, 331265473, US | |||||||||||||||||
|
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| Phone | +1 305-644-0977 |
| Fax | 3056440114 |
Authorized person
| Name | LARRY DE JESUS |
| Role | OWNER |
| Phone | 3056440977 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE JESUS, LARRY | Agent | 5880 SUNDOWN CIR APT 1317, ORLANDO, FL 32822 |
| Name | Role | Address |
|---|---|---|
| DE JESUS, LARRY | Manager | 5880 SUNDOWN CIRCLE, APT 1317 ORLANDO, FL 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-06 | 5880 SUNDOWN CIR APT 1317, ORLANDO, FL 32822 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-06 | 9421 S ORANGE BLOSSOM TRAIL, STE 19, ORLANDO, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-23 | 9421 S ORANGE BLOSSOM TRAIL, STE 19, ORLANDO, FL 32837 | No data |
| REINSTATEMENT | 2020-02-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-09-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2017-08-15 | No data | No data |
| REINSTATEMENT | 2016-10-26 | No data | No data |
| LC AMENDMENT | 2016-10-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000104752 | LAPSED | 2017-025952-CA-01 (15) | 11TH JUDICIAL CIRCUIT | 2018-02-20 | 2023-03-12 | $104,692.83 | REGION BANK, 1900 FIFTH AVENUE NORTH, BIRMINGHAM, AL 35203 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-03-06 |
| REINSTATEMENT | 2020-02-04 |
| REINSTATEMENT | 2018-09-08 |
| LC Amendment | 2017-08-15 |
| REINSTATEMENT | 2016-10-26 |
| LC Amendment | 2016-10-26 |
| LC Amendment | 2016-08-24 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
