| Entity Name: | PHYSICIANS MEDICAL AND INJURY GROUP EAST ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Feb 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000032008 |
| FEI/EIN Number | 82-0716045 |
| Address: | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 32792, US |
| Mail Address: | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447790597 | 2017-03-07 | 2017-03-07 | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 327926724, US | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 327926724, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 321-441-4944 |
| Fax | 4076368749 |
Authorized person
| Name | DR. WILLIAM FREDERICK VON BARGEN JR. |
| Role | OWNER |
| Phone | 4074506991 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10928 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| License Number | OS9286 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS9286 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTLE JAMES | Agent | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| CASTLE JAMES | Manager | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| VON BARGEN WILLIAM FJR. | Authorized Member | 1008 JULIETTE BLVD., MOUNT DORA, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000034236 | PHYSICIANS MEDICAL AND INJURY GROUP | EXPIRED | 2017-03-31 | 2022-12-31 | No data | 7163 UNIVERSITY BLVD, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-10 | CASTLE, JAMES | No data |
| REINSTATEMENT | 2018-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC AMENDMENT | 2017-03-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-22 | 7163 UNIVERSITY BLVD, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-22 | 7163 UNIVERSITY BLVD, WINTER PARK, FL 32792 | No data |
| LC AMENDMENT | 2017-03-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-10-10 |
| REINSTATEMENT | 2018-10-10 |
| LC Amendment | 2017-03-23 |
| LC Amendment | 2017-03-22 |
| Florida Limited Liability | 2017-02-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
