| Entity Name: | PHYSICIANS MEDICAL AND INJURY GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2023 (a year ago) |
| Document Number: | L16000129099 |
| FEI/EIN Number | 81-3489913 |
| Address: | 1008 Juliette Blvd, Mount Dora, FL, 32757, US |
| Mail Address: | 1008 juliette blvd, mount dora, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154879237 | 2016-09-16 | 2020-08-25 | 1450 S WOODLAND BLVD STE 200A, DELAND, FL, 327207547, US | 1450 S WOODLAND BLVD STE 200A, DELAND, FL, 327207547, US | |||||||||||||||
|
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| Phone | +1 386-279-0943 |
| Fax | 3868734217 |
Authorized person
| Name | DR. WILLIAM FREDERICK VON BARGEN JR. |
| Role | PRESIDENT |
| Phone | 3862790943 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Von Bargen William FJr. | Agent | 1008 Juliette Blvd, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| VON BARGEN WILLIAM FJR | Authorized Member | 1008 juliette blvd, mount dora, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-16 | 1008 Juliette Blvd, Mount Dora, FL 32757 | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-22 | 1008 Juliette Blvd, Mount Dora, FL 32757 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-22 | 1008 Juliette Blvd, Mount Dora, FL 32757 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-16 | Von Bargen, William Frederick, Jr. | No data |
| LC AMENDMENT | 2016-08-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| REINSTATEMENT | 2023-10-16 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-16 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-05-22 |
| ANNUAL REPORT | 2017-03-16 |
| LC Amendment | 2016-08-15 |
| Florida Limited Liability | 2016-07-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
