| Entity Name: | MOUNT OF MERCY HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Feb 2018 (7 years ago) |
| Document Number: | L18000031223 |
| FEI/EIN Number | 82-4322491 |
| Address: | 10269 Park Estates Ave, Orlando, FL 32836 |
| Mail Address: | 10269 Park Estates Ave, Orlando, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205396611 | 2019-03-21 | 2019-03-21 | 7136 ALTIS WAY # 2102, ORLANDO, FL, 328366870, US | 11268 S APOPKA VINELAND RD, ORLANDO, FL, 328366152, US | |||||||||||||||||||||||||||||
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| Phone | +1 321-396-2877 |
| Fax | 8885659271 |
| Phone | +1 407-465-1993 |
Authorized person
| Name | DR. HAROON R NAWAZ |
| Role | OWNER |
| Phone | 3213962877 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NAWAZ, HAROON, Dr. | Agent | 10269 Park Estates Ave, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| NAWAZ, HAROON, MD | President | 10269 Park Estates Ave, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| NAWAZ, HAROON, MD | Chief Executive Officer | 10269 Park Estates Ave, Orlando, FL 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-25 | 10269 Park Estates Ave, Orlando, FL 32836 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-25 | 10269 Park Estates Ave, Orlando, FL 32836 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-25 | 10269 Park Estates Ave, Orlando, FL 32836 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-12 | NAWAZ, HAROON, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-25 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-03-21 |
| Florida Limited Liability | 2018-02-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4631077107 | 2020-04-13 | 0491 | PPP | 8546 PALM PKWY, ORLANDO, FL, 32836-6415 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
