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INTERNAL MEDICINE OF SOUTH FL LLC - Florida Company Profile

Company Details

Entity Name: INTERNAL MEDICINE OF SOUTH FL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

INTERNAL MEDICINE OF SOUTH FL 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.
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: 08 Apr 2014 (11 years ago)
Document Number: L14000057689
FEI/EIN Number 46-5339162

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 22904 Lyden Drive, Unit 5-6, Estero, FL, 33928, US
Mail Address: 22904 Lyden Drive, Unit 5-6, Estero, FL, 33928, US
ZIP code: 33928
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619387925 2014-05-08 2014-05-08 12264 TAMIAMI TRL E, NAPLES, FL, 341137942, US 12264 TAMIAMI TRL E, NAPLES, FL, 341137942, US

Contacts

Phone +1 239-304-9071

Authorized person

Name DR. ORLANDO FERNANDEZ
Role MEDICAL DIRECTOR
Phone 2393049071

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME113113
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 14LR2
State FL

Key Officers & Management

Name Role Address
FERNANDEZ ORLANDO Chief Executive Officer 22904 Lyden Drive, Estero, FL, 33928
Bustamante Maria Chief Financial Officer 22904 Lyden Drive, Estero, FL, 33928
FERNANDEZ ORLANDO Agent 22904 Lyden Drive, Estero, FL, 33928

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-23 22904 Lyden Drive, Unit 5-6, Estero, FL 33928 -
CHANGE OF MAILING ADDRESS 2024-03-23 22904 Lyden Drive, Unit 5-6, Estero, FL 33928 -
REGISTERED AGENT ADDRESS CHANGED 2024-03-23 22904 Lyden Drive, Unit 5-6, Estero, FL 33928 -

Documents

Name Date
ANNUAL REPORT 2024-03-23
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-03-07
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-03-28
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-03-05
ANNUAL REPORT 2015-03-23

Date of last update: 03 Mar 2025

Sources: Florida Department of State