| Entity Name: | PHYSICIAN PARTNERS MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PHYSICIAN PARTNERS MEDICAL GROUP LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 15 Mar 2016 (9 years ago) |
| Date of dissolution: | 15 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Apr 2019 (6 years ago) |
| Document Number: | L16000053184 |
| FEI/EIN Number |
81-1868059
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1521 E IRLO BRONSON MEMORIAL HWY, ST. CLOUD, FL, 34771, US |
| Mail Address: | 1521 E IRLO BRONSON MEMORIAL HWY, ST. CLOUD, FL, 34771, US |
| ZIP code: | 34771 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396190856 | 2016-05-03 | 2016-05-03 | 833 E OAK ST, KISSIMMEE, FL, 347445838, US | 833 E OAK ST, KISSIMMEE, FL, 347445838, US | |||||||||||||||||||||||
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| Phone | +1 321-422-4866 |
Authorized person
| Name | WILLIAM STEELE |
| Role | CEO |
| Phone | 5613850731 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 207Q00000X |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | WELLCARE |
| Number | 11111 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cardona Carlos | Manager | 833 E Oak Street, Kissimmee, FL, 34744 |
| MERCADO LOURDES | Manager | 1050 HIGHLAND CREST CIR, LAKE WALES, FL, 33853 |
| Cardona Carlos | Agent | 833 E Oak Street, Kissimmee, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-15 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-30 | 1521 E IRLO BRONSON MEMORIAL HWY, ST. CLOUD, FL 34771 | - |
| CHANGE OF MAILING ADDRESS | 2018-07-30 | 1521 E IRLO BRONSON MEMORIAL HWY, ST. CLOUD, FL 34771 | - |
| LC AMENDMENT | 2017-09-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-01-08 | Cardona, Carlos | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-08 | 833 E Oak Street, Kissimmee, FL 34744 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-15 |
| ANNUAL REPORT | 2018-04-16 |
| LC Amendment | 2017-09-18 |
| ANNUAL REPORT | 2017-01-08 |
| Florida Limited Liability | 2016-03-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
