| Entity Name: | CACERES SPECIALIZED GYNECOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jun 2016 (9 years ago) |
| Document Number: | L16000114688 |
| FEI/EIN Number | 81-2962500 |
| Mail Address: | 1136 Cypress Glen Circle, Kissimmee, FL 34741 |
| Address: | 1136 CYPRESS GLEN CIRCLE, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073069159 | 2016-08-29 | 2017-01-20 | 15502 STONEYBROOK WEST PKWY, SUITE 104-241, WINTER GARDEN, FL, 347874767, US | 1530 CELEBRATION BLVD, SUITE 408, SUITE 408, CELEBRATION, FL, 347474970, US | |||||||||||||||||||||
|
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| Phone | +1 321-286-6222 |
| Phone | +1 407-392-2777 |
| Fax | 4076055999 |
Authorized person
| Name | DR. AILEEN CACERES |
| Role | PRESIDENT/OWNER |
| Phone | 3212866222 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME98869 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAW OFFICES OF DAVID H. TREVETT PL | Agent | 6900 Tavistock Lakes Blvd, Suite 400, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| CACERES, AILEEN, MD | Manager | 1136 Cypress Glen Circle, Kissimmee, FL 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000104650 | ENDOMETRIOSIS CENTER FOR WOMEN | ACTIVE | 2017-09-20 | 2027-12-31 | No data | 1178 CYPRESS GLEN CIRCLE, HUNTER'S CREEKPROFESSIONAL PK, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-10 | 1136 CYPRESS GLEN CIRCLE, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-10 | LAW OFFICES OF DAVID H. TREVETT PL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 6900 Tavistock Lakes Blvd, Suite 400, ORLANDO, FL 32827 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-14 | 1136 CYPRESS GLEN CIRCLE, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-02-04 |
| Florida Limited Liability | 2016-06-14 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
