| Entity Name: | MEDICAL ASSOCIATES OF GREATER ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Sep 2016 (8 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000182580 |
| Address: | 1117 NORTH CENTRAL AVENUE, KISSIMMEE, FL, 34741 |
| Mail Address: | 2964 SIESTA VIEW DRIVE, KISSIMMEE, FL, 34744 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407306806 | 2016-10-10 | 2016-11-02 | 1115 N CENTRAL AVE, KISSIMMEE, FL, 347414405, US | 3014 MICHIGAN AVE, KISSIMMEE, FL, 347441542, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 407-986-0650 |
| Fax | 4079304632 |
Authorized person
| Name | DR. PRASHANT JANI |
| Role | MEDICAL DOCTOR / PARTNER |
| Phone | 4079860650 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME114445 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | 9101079 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | ARNP9214160 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORDOVA MARIO APA-C | Agent | 2964 SIESTA VIEW DRIVE, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| JANI PRASHANT MD | Manager | 9446 BECKER COURT, ORLANDO, FL, 32827 |
| CORDOVA MARIO APA-C | Manager | 2964 SIESTA VIEW DRIVE, KISSIMMEE, FL, 34744 |
| OGARA ANDREW FARNP-C | Manager | 10349 MALPAS POINT, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-09-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
