| Entity Name: | MEDHEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Feb 2021 (4 years ago) |
| Document Number: | L17000141549 |
| FEI/EIN Number | 82-2046775 |
| Address: | 425 W. Colonial Dr, Ste 303, Orlando, FL 32804 |
| Mail Address: | 425 W. Colonial Dr, Ste 303, Orlando, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720504947 | 2017-08-18 | 2017-09-22 | 121 S ORANGE AVE STE 940, ORLANDO, FL, 328013234, US | 395 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 33880, US | |||||||||||||||||||||||
|
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| Phone | +1 407-658-9687 |
| Fax | 4076589688 |
Authorized person
| Name | MS. LYZETTE LORENZ |
| Role | CREDENTIALING SPECIALIST |
| Phone | 4076589687 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL BLUE |
| Number | Y6B5K |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Brown, David | Secretary | 425 W. Colonial Dr, Ste 303 Orlando, FL 32804 |
| Name | Role | Address |
|---|---|---|
| Carey, Amy Moyer | Chief Operating Officer | 425 W. Colonial Dr, Ste 303 Orlando, FL 32804 |
| Name | Role | Address |
|---|---|---|
| MCBRIEN, ANDREW | PRESIDENT | 425 W. Colonial Dr, Ste 303 Orlando, FL 32804 |
| Name | Role | Address |
|---|---|---|
| OZCAN, MANUK | Chief Financial Officer | 425 W. Colonial Dr, Ste 303 Orlando, FL 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000135157 | GUIDEWELL PRIMARY CARE | EXPIRED | 2017-12-11 | 2022-12-31 | No data | 121 S. ORANGE AVENUE, SUITE 940, ORLANDO, FL, 32801 |
| G17000106666 | MEDHEALTH | EXPIRED | 2017-09-26 | 2022-12-31 | No data | 121 S ORANGE AVENUE, SUITE 940, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-29 | 425 W. Colonial Dr, Ste 303, Orlando, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-29 | 425 W. Colonial Dr, Ste 303, Orlando, FL 32804 | No data |
| REINSTATEMENT | 2021-02-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-23 | C T Corporation System | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-23 | 1200 S Pine Island Rd, Plantation, FL 33324 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| AMENDED ANNUAL REPORT | 2024-10-29 |
| ANNUAL REPORT | 2024-04-23 |
| AMENDED ANNUAL REPORT | 2023-12-06 |
| ANNUAL REPORT | 2023-03-01 |
| AMENDED ANNUAL REPORT | 2022-06-21 |
| ANNUAL REPORT | 2022-04-25 |
| AMENDED ANNUAL REPORT | 2021-09-01 |
| REINSTATEMENT | 2021-02-23 |
| ANNUAL REPORT | 2019-01-30 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
