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MID-FLORIDA RHEUMATOLOGY, LLC

Company Details

Entity Name: MID-FLORIDA RHEUMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Dec 2018 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2022 (3 years ago)
Document Number: L18000282191
FEI/EIN Number 83-2749055
Address: 1743 Park Center Drive, orlando, FL 32835
Mail Address: 1743 PARK CENTER DRIVE, ORLANDO, FL 32835
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972069946 2019-02-14 2019-04-29 1743 PARK CENTER DR STE 400, ORLANDO, FL, 328357621, US 1743 PARK CENTER DR STE 400, ORLANDO, FL, 328357621, US

Contacts

Phone +1 386-668-4202
Fax 3866684207

Authorized person

Name KWABENA AYESU
Role MD
Phone 3866684202

Taxonomy

Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary Yes

Agent

Name Role Address
ANDOH, YVONNE Agent 2877 DELANEY AVENUE, ORLANDO, FL 32810

N

Name Role Address
N/A N N/A, N/A, FL

Administrator

Name Role Address
N/A Administrator N/A, N/A, FL

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-01-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF MAILING ADDRESS 2020-07-20 1743 Park Center Drive, orlando, FL 32835 No data
REGISTERED AGENT ADDRESS CHANGED 2020-07-20 2877 DELANEY AVENUE, ORLANDO, FL 32810 No data
REGISTERED AGENT NAME CHANGED 2020-07-20 ANDOH, YVONNE No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-21 1743 Park Center Drive, orlando, FL 32835 No data
LC STMNT OF RA/RO CHG 2019-06-10 No data No data
LC AMENDMENT 2019-06-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-30
REINSTATEMENT 2022-01-29
ANNUAL REPORT 2020-07-20
CORLCRACHG 2019-06-10
ANNUAL REPORT 2019-04-26
Florida Limited Liability 2018-12-07

Date of last update: 17 Jan 2025

Sources: Florida Department of State