| Entity Name: | ORLANDO FAMILY WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Feb 2014 (11 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L14000026764 |
| FEI/EIN Number | 46-4837068 |
| Address: | 2973 Langdon Ln N, KISSIMMEE, FL 34741 |
| Mail Address: | 2973 LANGDON LN N, KISSIMME, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134544612 | 2014-02-20 | 2014-02-20 | 11883 GENNARO LN, ORLANDO, FL, 328277134, US | 11883 GENNARO LN, ORLANDO, FL, 328277134, US | |||||||||||||||||||||||
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| Phone | +1 321-356-6982 |
Authorized person
| Name | INNA HORN |
| Role | OWNER/PROVIDER |
| Phone | 3213566982 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ARNP9180991 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | AG797Y |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE LAW OFFICE OF LOUIZA TARASSOVA PA | Agent | 2050 FL-436, Unit 114, Winter Park, FL 32792 |
| Name | Role | Address |
|---|---|---|
| HORN, INNA | Manager | 2973 LANGDON LN N, KISSIMMEE, FL 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 2050 FL-436, Unit 114, Winter Park, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-01 | 2973 Langdon Ln N, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-01 | 2973 Langdon Ln N, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-27 |
| Florida Limited Liability | 2014-02-17 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
