| Entity Name: | FAMILY MEDICINE AT KISSIMMEE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Mar 2016 (9 years ago) |
| Date of dissolution: | 09 Jan 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jan 2017 (8 years ago) |
| Document Number: | L16000050114 |
| FEI/EIN Number | 36-4830967 |
| Address: | 222 Broadway Ave, Suite 202, Kissimmee, FL, 34741, US |
| Mail Address: | 222 Broadway Ave, Suite 202, Kissimmee, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740731595 | 2016-10-17 | 2016-10-17 | 2106 N ORANGE AVE, SUITE 100, ORLANDO, FL, 328045509, US | 1975 S JOHN YOUNG PKWY, KISSIMMEE, FL, 347410603, US | |||||||||||||||||
|
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| Phone | +1 407-459-1181 |
| Fax | 3217328440 |
| Phone | +1 321-270-7751 |
Authorized person
| Name | MICHAEL WILLIAMS |
| Role | OWNER |
| Phone | 3212707751 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mensah Faustina | Agent | 70 Sping Vista Drive, Florida, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| NONE NONE | Othe | NONE, NONE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-06 | 222 Broadway Ave, Suite 202, Kissimmee, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2017-09-06 | 222 Broadway Ave, Suite 202, Kissimmee, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-06-30 | Mensah, Faustina | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-30 | 70 Sping Vista Drive, Florida, FL 32713 | No data |
| LC REVOCATION OF DISSOLUTION | 2017-03-09 | No data | No data |
| VOLUNTARY DISSOLUTION | 2017-01-09 | No data | No data |
| Name | Date |
|---|---|
| DEBIT MEMO# 025690-B | 2018-05-22 |
| ANNUAL REPORT | 2018-04-30 |
| AMENDED ANNUAL REPORT | 2017-11-21 |
| AMENDED ANNUAL REPORT | 2017-09-06 |
| ANNUAL REPORT | 2017-06-30 |
| LC Revocation of Dissolution | 2017-03-09 |
| VOLUNTARY DISSOLUTION | 2017-01-09 |
| Florida Limited Liability | 2016-03-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
