| Entity Name: | MEDSTATION ORLANDO PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDSTATION ORLANDO PRIMARY CARE 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: | 16 Aug 2016 (9 years ago) |
| Date of dissolution: | 10 May 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 May 2017 (8 years ago) |
| Document Number: | L16000153663 |
| Address: | 1601 PARK CENTER DR STE 9, ORLANDO, FL, 32835 |
| Mail Address: | 1601 PARK CENTER DR STE 9, ORLANDO, FL, 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316496003 | 2016-09-23 | 2016-09-23 | 1601 PARK CENTER DR, SUITE # 9, ORLANDO, FL, 328355700, US | 1601 PARK CENTER DR, SUITE # 9, ORLANDO, FL, 328355700, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-219-9301 |
| Fax | 9545826715 |
Authorized person
| Name | JAIME COLOMBINO GONZALEZ |
| Role | AMBR |
| Phone | 3523945535 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0049457 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1316936461 |
| State | FL |
| Issuer | MEDICAID |
| Number | 006455900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CSG - CAPITAL SERVICES GROUP, INC. | Agent | - |
| GONZALEZ JAIME C | Authorized Member | 1601 PARK CENTER DR STE 9, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-05-10 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-08-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
