| Entity Name: | CHILDREN'S GASTROENTEROLOGY OF CENTRAL FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Oct 2018 (6 years ago) |
| Date of dissolution: | 17 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Mar 2020 (5 years ago) |
| Document Number: | L18000232019 |
| FEI/EIN Number | 83-2010379 |
| Address: | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US |
| Mail Address: | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891260873 | 2018-10-05 | 2018-10-05 | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 327016834, US | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 327016834, US | |||||||||||||||||||
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| Phone | +1 321-274-7519 |
Authorized person
| Name | OSMAN Z AHMAD |
| Role | CEO |
| Phone | 3212747519 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1467719492 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AHMAD OSMAN Z | Agent | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| AHMAD OSMAN Z | Authorized Member | 608 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-17 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-17 |
| ANNUAL REPORT | 2019-04-08 |
| Florida Limited Liability | 2018-10-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
