Entity Name: | DOCTORS AT HOME TRI COUNTY L.L.C |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
DOCTORS AT HOME TRI COUNTY L.L.C 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: | 01 Apr 2014 (11 years ago) |
Document Number: | L14000053560 |
FEI/EIN Number |
46-5505137
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 11954 Narcoossee Rd, orlando, FL, 32832, US |
Mail Address: | 11954 Narcoossee Rd, 2 #504, orlando, FL, 32832, US |
ZIP code: | 32832 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497168173 | 2014-06-10 | 2022-09-19 | 11954 NARCOOSSEE RD STE 2 #504, ORLANDO, FL, 328326998, US | 11954 NARCOOSSEE RD STE 2 #504, ORLANDO, FL, 328326998, US | |||||||||||||||||||||||||||
|
Phone | +1 800-925-1840 |
Fax | 8005219406 |
Authorized person
Name | RAFAEL GONZALEZ |
Role | PRESIDENT |
Phone | 4074218553 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | ISUN3 |
State | FL |
Issuer | MEDICAID |
Number | 015701100 |
State | FL |
Name | Role | Address |
---|---|---|
Gonzalez Rafael | President | 13121 Bromborough DR, Orlando, FL, 32832 |
Gonzalez Rafael | Agent | 11954 Narcoossee RD, orlando, FL, 32832 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000001080 | TCM AT HOME | EXPIRED | 2019-01-03 | 2024-12-31 | - | 1060 WOODCOCK ROAD, ORLANDO, FL, 32803 |
G16000033669 | PRIMARY CARE AT HOME | ACTIVE | 2016-04-02 | 2026-12-31 | - | 11954 NARCOOSSEE ROAD, SUITE 2-504, ORLANDO, FL, 32832 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 11954 Narcoossee Rd, 2 # 504, orlando, FL 32832 | - |
CHANGE OF MAILING ADDRESS | 2020-03-16 | 11954 Narcoossee Rd, 2 # 504, orlando, FL 32832 | - |
REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 11954 Narcoossee RD, 2 #504, orlando, FL 32832 | - |
REGISTERED AGENT NAME CHANGED | 2016-04-01 | Gonzalez, Rafael | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-15 |
ANNUAL REPORT | 2023-02-07 |
ANNUAL REPORT | 2022-03-05 |
ANNUAL REPORT | 2021-01-18 |
ANNUAL REPORT | 2020-03-16 |
ANNUAL REPORT | 2019-02-27 |
ANNUAL REPORT | 2018-02-02 |
ANNUAL REPORT | 2017-03-17 |
ANNUAL REPORT | 2016-04-01 |
ANNUAL REPORT | 2015-02-19 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State