| Entity Name: | FAMILY INTEGRATIVE MEDICINE OF ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Aug 2013 (11 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 13 Feb 2018 (7 years ago) |
| Document Number: | L13000114606 |
| FEI/EIN Number | 46-4589264 |
| Address: | 11251 S ORANGE BLOSSOM TRL, ORLANDO, FL, 32837, US |
| Mail Address: | 11251 S ORANGE BLOSSOM TRL, ORLANDO, FL, 32837, US |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720572456 | 2018-06-16 | 2022-09-09 | 6518 CICERO LN, ORLANDO, FL, 328095911, US | 11301 S ORANGE BLOSSOM TRL STE A208, ORLANDO, FL, 32837, US | |||||||||||||||||||
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| Phone | +1 407-288-3371 |
| Phone | +1 407-751-2192 |
Authorized person
| Name | MR. HERIBERTO LUIS RIVERA |
| Role | CO-OWNER |
| Phone | 4072883371 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 48-641825503 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERA HERIBERTO L | Agent | 11251 S ORANGE BLOSSOM TRL, ORLANDO, FL, 32837 |
| Name | Role | Address |
|---|---|---|
| LOPES OSVALDO A | President | 11251 S ORANGE BLOSSOM TRL, ORLANDO, FL, 32837 |
| RIVERA HERIBERTO L | President | 11251 S ORANGE BLOSSOM TRL, ORLANDO, FL, 32837 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000007851 | FAMILY INTEGRATIVE MEDICINE OF ORLANDO | ACTIVE | 2021-01-15 | 2026-12-31 | No data | 11301 SOUTH ORANGE BLOSSOM TRAIL, SUITE A 208, ORLANDO, FL, 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-06 | 11251 S ORANGE BLOSSOM TRL, STE 101, STE 102, STE 103, ORLANDO, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-26 | 11251 S ORANGE BLOSSOM TRL, STE 101, STE 102, STE 103, ORLANDO, FL 32837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-26 | 11251 S ORANGE BLOSSOM TRL, STE 101, ORLANDO, FL 32837 | No data |
| LC AMENDMENT AND NAME CHANGE | 2018-02-13 | FAMILY INTEGRATIVE MEDICINE OF ORLANDO, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-05-06 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-07-02 |
| ANNUAL REPORT | 2018-04-12 |
| LC Amendment and Name Change | 2018-02-13 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
