| Entity Name: | WEST ORANGE WOMEN'S CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2015 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 13 Mar 2020 (5 years ago) |
| Document Number: | L15000168853 |
| FEI/EIN Number | 474692079 |
| Address: | 2711 Maguire Road, OCOEE, FL, 34761, US |
| Mail Address: | 780 KEATON PARKWAY, OCOEE, FL, 34761, US |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598393597 | 2020-03-27 | 2020-11-24 | 2711 MAGUIRE RD, OCOEE, FL, 347614797, US | 2711 MAGUIRE RD, OCOEE, FL, 347614797, US | |||||||||||||||||||||
|
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| Phone | +1 407-268-0000 |
| Fax | 4076142300 |
Authorized person
| Name | TRACEY ARIZA |
| Role | ADMINISTRATOR |
| Phone | 4074890910 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263572100 |
| State | FL |
| Name | Role |
|---|---|
| ASMA & ASMA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| OLOUFA SHEREEN I | Manager | 2711 MAGUIRE ROAD, OCOEE, FL, 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000030048 | WEST ORANGE WOMEN'S CARE | ACTIVE | 2020-03-09 | 2025-12-31 | No data | 10131 W. COLONIAL DRIVE #1, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-02 | 2711 Maguire Road, OCOEE, FL 34761 | No data |
| LC NAME CHANGE | 2020-03-13 | WEST ORANGE WOMEN'S CARE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-07 |
| LC Name Change | 2020-03-13 |
| AMENDED ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
