| Entity Name: | MEDICAL CITY PSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Apr 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Sep 2024 (5 months ago) |
| Document Number: | L18000095248 |
| FEI/EIN Number | 82-5311153 |
| Address: | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL, 32827, US |
| Mail Address: | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL, 32827, US |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245096080 | 2024-02-27 | 2024-09-12 | 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL, 328277593, US | 6900 TAVISTOCK LAKES BLVD, ORLANDO, FL, 328277589, US | |||||||||||||||||
|
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| Phone | +1 407-212-1794 |
| Fax | 4079873483 |
| Phone | +1 407-476-4725 |
Authorized person
| Name | HENRY BOILINI |
| Role | OWNER |
| Phone | 4072121794 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BOILINI HENRY A | Authorized Member | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL, 32827 |
| ELAHI SHAHID | Authorized Member | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL, 32827 |
| VARAGAS ENRIQUE | Authorized Member | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-19 | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL 32827 | No data |
| LC AMENDMENT | 2024-09-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-19 | 6900 TAVISTOCK LAKES BLVD., SUITE 400, ORLANDO, FL 32827 | No data |
| REINSTATEMENT | 2024-02-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | UNITED STATES CORPORATION AGENTS, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-09-19 |
| REINSTATEMENT | 2024-02-05 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-05 |
| Florida Limited Liability | 2018-04-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
