| Entity Name: | DAVID BUI MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 May 2016 (9 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 27 May 2016 (9 years ago) |
| Document Number: | L16000106508 |
| FEI/EIN Number | 81-3255503 |
| Address: | 700 HAMPTON AVENUE, ORLANDO, FL 32803 |
| Mail Address: | 700 HAMPTON AVENUE, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992888515 | 2006-10-24 | 2017-05-09 | 700 N HAMPTON AVE, ORLANDO, FL, 328034234, US | 700 N HAMPTON AVE, ORLANDO, FL, 328034234, US | |||||||||||||||||||||||||
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| Phone | +1 407-895-3407 |
| Fax | 4078988000 |
Authorized person
| Name | DAVID QUANG BUI |
| Role | PRESIDENT |
| Phone | 4078953407 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME 60771 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373158800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| UNG, DAC V | Agent | 2200 FAIRGLENN WAY, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| BUI, DAVID | Manager | 700 HAMPTON AVENUE, ORLANDO, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2016-05-27 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P02000088010. CONVERSION NUMBER 300000161483 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-09-18 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-04 |
| Florida Limited Liability | 2016-05-27 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
