Search icon

DOCTORS AT HOME TRI COUNTY L.L.C - Florida Company Profile

Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
Gonzalez Rafael President 13121 Bromborough DR, Orlando, FL, 32832
Gonzalez Rafael Agent 11954 Narcoossee RD, orlando, FL, 32832

Fictitious Names

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

Events

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 -

Documents

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