| Entity Name: | COMPREHENSIVE FAMILY MEDICINE OF ORLANDO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Oct 2015 (9 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: | L15000167145 |
| FEI/EIN Number | 47-5228136 |
| Address: | 5946 CURRY FORD ROAD, ORLANDO, FL, 32822, US |
| Mail Address: | P.O. Box 720370, Orlando, FL, 32872, US |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659739142 | 2016-01-29 | 2016-09-13 | PO BOX 720370, ORLANDO, FL, 328720370, US | 5946 CURRY FORD RD, SUITE 103, ORLANDO, FL, 328224280, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-985-5677 |
| Fax | 4079855682 |
Authorized person
| Name | MARIA ELENA RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 4079855677 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME100303 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016729200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ MARIA E | Agent | 2767 ARBOR TRAIL WAY, ORLANDO, FL, 32829 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ MARIA E | Manager | 2767 ARBOR TRAIL WAY, ORLANDO, FL, 32829 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-06 | 5946 CURRY FORD ROAD, SUITE 103, ORLANDO, FL 32822 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-12 | 5946 CURRY FORD ROAD, SUITE 103, ORLANDO, FL 32822 | No data |
| LC AMENDMENT | 2016-07-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-20 | RODRIGUEZ, MARIA E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-20 | 2767 ARBOR TRAIL WAY, ORLANDO, FL 32829 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-12 |
| LC Amendment | 2016-07-25 |
| ANNUAL REPORT | 2016-04-20 |
| Florida Limited Liability | 2015-10-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
