| Entity Name: | MEDIPRO HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Feb 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000054190 |
| FEI/EIN Number | 83-3811943 |
| Address: | 581 N. Park Avenue, Apopka, FL, 32704, US |
| Mail Address: | 581 N. PARK AVENUE, #4128, APOPKA, FL, 32704, US |
| ZIP code: | 32704 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417419490 | 2019-04-01 | 2019-04-01 | 581 N PARK AVE UNIT 4128, APOPKA, FL, 327048731, US | 1475 W ORANGE BLOSSOM TRL, APOPKA, FL, 327122828, US | |||||||||||||
|
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| Phone | +1 407-537-2767 |
Authorized person
| Name | MRS. CAVEL ELLIOTT |
| Role | OWNER |
| Phone | 5162705873 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELLIOTT CAVEL | Agent | 1070 LAKE FRANCIS DRIVE, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ TAMIKA | Authorized Member | 290 E MAIN STREET, APT 308, ELMSFORD, NY, 10523 |
| ELLIOTT CAVEL | Authorized Member | 1070 LAKE FRANCIS DRIVE, APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-25 | 581 N. Park Avenue, #4128, Apopka, FL 32704 | No data |
| LC DISSOCIATION MEM | 2019-04-09 | No data | No data |
| LC STMNT OF RA/RO CHG | 2019-04-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-09 | ELLIOTT, CAVEL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-25 |
| CORLCDSMEM | 2019-04-09 |
| CORLCRACHG | 2019-04-09 |
| Florida Limited Liability | 2019-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
