| 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 | |||||||||||||||||||||||||||
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| 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
