| Entity Name: | WINTER PARK FAMILY PHYSICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2019 (5 years ago) |
| Document Number: | L14000005866 |
| FEI/EIN Number | 46-4713792 |
| Address: | 5745 Canton Cove, Suite 121, Winter Springs, FL, 32708, US |
| Mail Address: | 5745 Canton Cove, Suite 121, Winter Springs, FL, 32708, US |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538619952 | 2016-10-10 | 2017-02-14 | P.O. BOX 180898, CASSELBERRY, FL, 327180898, US | 5745 CANTON CV, SUITE 121, WINTER SPRINGS, FL, 327085012, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-647-2550 |
| Fax | 4076470616 |
Authorized person
| Name | AHMAD B AMAWI |
| Role | PRESIDENT |
| Phone | 4076472550 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME92346 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME112530 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AMAWI AHMAD B | Agent | 5745 Canton Cove, Winter Springs, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| AMAWI AHMAD B | Authorized Member | 5745 Canton Cove, Winter Springs, FL, 32708 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000118280 | FAMILY PRACTICE OF WINTER PARK | ACTIVE | 2017-10-26 | 2027-12-31 | No data | 1400 SOUTH ORLANDO AVE, STE 204, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-10 | 4355 Bear Gully Road, STE 1024, Winter Park, FL 32792-9422 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-10 | 4355 Bear Gully Road, STE 1024, Winter Park, FL 32792-9422 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-10 | 1336 Heavenly Cove, Winter Park, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-06 | AMAWI, AHMAD B | No data |
| REINSTATEMENT | 2019-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-06 | 5745 Canton Cove, Suite 121, Winter Springs, FL 32708 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-06 | 5745 Canton Cove, Suite 121, Winter Springs, FL 32708 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-06 | 5745 Canton Cove, Suite 121, Winter Springs, FL 32708 | No data |
| LC STMNT CORR/NC | 2014-01-15 | WINTER PARK FAMILY PHYSICIANS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-30 |
| REINSTATEMENT | 2019-10-06 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-06-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
