| Entity Name: | KEMEH MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Apr 2018 (7 years ago) |
| Document Number: | L18000103939 |
| FEI/EIN Number | 82-5376213 |
| Address: | 7909 PLEASANT PINE CIR, ORLANDO, FL, 32792, US |
| Mail Address: | 7909 PLEASANT PINE CIR, ORLANDO, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518429513 | 2019-04-01 | 2019-04-01 | 7909 PLEASANT PINE CIR, WINTER PARK, FL, 327929504, US | 7909 PLEASANT PINE CIR, WINTER PARK, FL, 327929504, US | |||||||||||||||||||
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| Phone | +1 305-332-9403 |
Authorized person
| Name | HAMMAM KEMEH |
| Role | CEO/OWNER |
| Phone | 3053329403 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008280000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KEMEH HAMMAM | Agent | 7909 PLEASANT PINE CIR, ORLANDO, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| KEMEH HAMMAM | Manager | 7909 PLEASANT PINE CIR, ORLANDO, FL, 32792 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-02-22 |
| Florida Limited Liability | 2018-04-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
