| Entity Name: | CLERMONT INTERNAL AND COSMETIC MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CLERMONT INTERNAL AND COSMETIC MEDICINE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Feb 2014 (11 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 22 Dec 2014 (10 years ago) |
| Document Number: | L14000028815 |
| FEI/EIN Number |
47-2719434
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 290 CITRUS TOWER BLVD., UNIT 102, CLERMONT, FL 34711 |
| Mail Address: | 290 CITRUS TOWER BLVD., UNIT 102, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437545472 | 2015-04-07 | 2015-09-25 | 290 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 347112783, US | 290 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 347112783, US | |||||||||||||||||||||||
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| Phone | +1 352-404-5174 |
| Fax | 3526783430 |
Authorized person
| Name | EDRISS ESTIME |
| Role | OWNER/AUTHORIZED REP |
| Phone | 3524045174 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014748100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESTIME, EDRISS | Agent | 290 CITRUS TOWER BLVD., UNIT 102, CLERMONT, FL 34711 |
| ESTIME, EDRISS | Manager | 290 Citrus Tower Blvd, Suite 102 Clermont, FL 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2014-12-22 | CLERMONT INTERNAL AND COSMETIC MEDICINE, LLC | - |
| CHANGE OF MAILING ADDRESS | 2014-12-22 | 290 CITRUS TOWER BLVD., UNIT 102, CLERMONT, FL 34711 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-12-22 | 290 CITRUS TOWER BLVD., UNIT 102, CLERMONT, FL 34711 | - |
| LC NAME CHANGE | 2014-12-10 | CLERMONT INTERNAL MEDICINE, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-02-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8939017704 | 2020-05-01 | 0491 | PPP | 290 CITRUS TOWER BLVD STE 102, CLERMONT, FL, 34711-2783 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
