| Entity Name: | OPA PHYSICIAN PARTNERS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 May 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000080631 |
| FEI/EIN Number | 47-3930063 |
| Address: | 1540 INTERNATIONAL PARKWAY, SUITE 2000, LAKE MARY, FL 32746 |
| Mail Address: | 1540 INTERNATIONAL PARKWAY, SUITE 2000, LAKE MARY, FL 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346627650 | 2015-05-06 | 2015-05-06 | 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL, 327465096, US | 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL, 327465096, US | |||||||||||||||||||||
|
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| Phone | +1 407-474-9253 |
Authorized person
| Name | DR. FRANCIS J FERNANDEZ JR. |
| Role | MEMBER |
| Phone | 4074749253 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fernandez, Francis J, JR. | Agent | 1540 INTERNATIONAL PARKWAY, SUITE 2000, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, FRANCIS J, M.D. | Authorized Member | 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, KEITH M | Authorized Person | 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-05-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-03 | Fernandez, Francis J, JR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC DISSOCIATION MEM | 2016-01-08 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-05-03 |
| CORLCDSMEM | 2016-01-08 |
| Florida Limited Liability | 2015-05-06 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
