| Entity Name: | OBT FAMILY MEDICAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Dec 2015 (9 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000204383 |
| Address: | 9480 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32837, US |
| Mail Address: | 10450 TURKEY LAKE ROAD, UNIT 691483, ORLANDO, FL, 32869, US |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841663010 | 2015-11-09 | 2015-12-13 | 10450 TURKEY LAKE RD, UNIT 691483, ORLANDO, FL, 328697501, US | 9480 S ORANGE BLOSSOM TRL, ORLANDO, FL, 328378321, US | |||||||||||||
|
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| Phone | +1 407-230-2108 |
Authorized person
| Name | CARLESA PIERRE |
| Role | OWNER |
| Phone | 4072302108 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PIERRE CARLESA | Agent | 10450 TURKEY LAKE ROAD, ORLANDO, FL, 32869 |
| Name | Role | Address |
|---|---|---|
| PIERRE CARLESA | Manager | 10450 TURKEY LAKE ROAD, UNIT 691483, ORLANDO, FL, 32869 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
