| Entity Name: | FYZAMEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Oct 2017 (7 years ago) |
| Document Number: | L17000209956 |
| FEI/EIN Number | 82-3059977 |
| Address: | 7209 Curry Ford Road Suite B, Orlando, FL, 32822, US |
| Mail Address: | 7209 CURRY FORD ROAD Suite B, Orlando, FL, 32822, US |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568974798 | 2017-10-27 | 2020-12-18 | 142 BLACKSTONE CREEK RD, GROVELAND, FL, 347363621, US | 7209 CURRY FORD RD STE B, ORLANDO, FL, 328225809, US | |||||||||||||||||||||||||||
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| Phone | +1 407-668-5525 |
| Phone | +1 407-501-8563 |
| Fax | 5125320923 |
Authorized person
| Name | TYLER PENROD |
| Role | BILLER |
| Phone | 3059074175 |
Taxonomy
| Taxonomy Code | 246RP1900X - Phlebotomy Technician |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2150190 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WG COMPUTER ACCOUNTING SERVICE | Agent | 213 SOUTH DILLARD ST, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| RAMLOGAN RITA | Manager | 7209 Curry Ford Road Unit B, Orlando, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-28 | 7209 Curry Ford Road Suite B, Orlando, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-28 | 7209 Curry Ford Road Suite B, Orlando, FL 32822 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000214526 | ACTIVE | 2019CC018107O | ORANGE COUNTY COURT CLERK | 2024-02-07 | 2029-04-16 | $19,283.62 | SURF CONSULTANTS II, INC. AS SUCCESSOR IN INTEREST TO F, 2775 SUNNY ISLES BLVD, #100, MIAMI, FL, 33160 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-08-20 |
| ANNUAL REPORT | 2019-09-06 |
| ANNUAL REPORT | 2018-05-01 |
| Florida Limited Liability | 2017-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
