| Entity Name: | PRIME PEDIATRICS OF CASSELBERRY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Oct 2013 (11 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000150909 |
| Address: | 3950 S. US HWY, 17-92, SUITE 2024, CASSELBERRY, FL, 32707 |
| Mail Address: | 8236 LEE VISTA BLVD., SUITE I, ORLANDO, FL, 32829 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528489606 | 2013-12-17 | 2013-12-17 | 8236 LEE VISTA BLVD, STE I, ORLANDO, FL, 328298070, US | 3950 S HWY 17/92, STE 2024, CASSELBERRY, FL, 327073295, US | |||||||||||||||||||
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| Phone | +1 407-809-5562 |
| Fax | 4078095562 |
Authorized person
| Name | SALMA ELFAKI |
| Role | MEMBER |
| Phone | 4078095562 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME101587 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELFAKI SALMA | Agent | 8236 LEE VISTA BLVD. STE I, ORLANDO, FL, 32829 |
| Name | Role | Address |
|---|---|---|
| ELFAKI SALMA | Managing Member | 3950 S. US HWY, 17-92, SUITE 2024, CASSELBERRY, FL, 32707 |
| MOHAMMADIAN SOHEILA | Managing Member | 3950 S. US HWY, 17-92, SUITE 2024, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-10-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
