| Entity Name: | PHYSICIANS OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jun 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Nov 2021 (3 years ago) |
| Document Number: | L16000109793 |
| FEI/EIN Number | 55-0836056 |
| Address: | 18550 U.S. HIGHWAY 441, STE. A, MOUNT DORA, FL, 32757 |
| Mail Address: | 18550 U.S. HIGHWAY 441, STE. A, MOUNT DORA, FL, 32757 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861421018 | 2006-07-01 | 2017-08-01 | 18550 US HIGHWAY 441, MOUNT DORA, FL, 327576725, US | 18550 US HIGHWAY 441, SUITE A, MOUNT DORA, FL, 327576725, US | |||||||||||||||
|
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| Phone | +1 352-735-3755 |
| Fax | 3527353151 |
Authorized person
| Name | DR. KHAI SHENG CHANG |
| Role | PRESIDENT |
| Phone | 3527353755 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Patten Carl WJr. | Agent | 18550 U.S. HIGHWAY 441, STE. A, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| CHANG KHAI M.D. | President | 18550 U.S. HIGHWAY 441, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Cheema Shahbaz A | Vice President | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Bisht Ajay H | Boar | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Aung MA TM.D. | Boar | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Bhattarai Birendra | Boar | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Zaman Waheeduz | Chief Operating Officer | 18550 US Hwy 441, Mount Dora, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-12-22 | Patten, Carl W., Jr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-22 | 18550 U.S. HIGHWAY 441, STE. A, MOUNT DORA, FL 32757 | No data |
| LC AMENDMENT | 2021-11-12 | No data | No data |
| CONVERSION | 2016-06-01 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P03000058125. CONVERSION NUMBER 700000161597 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-20 |
| AMENDED ANNUAL REPORT | 2022-12-22 |
| ANNUAL REPORT | 2022-02-03 |
| LC Amendment | 2021-11-12 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
