| Entity Name: | PHRC ORLANDO, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Jul 2019 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000162385 |
| FEI/EIN Number | 84-2650888 |
| Mail Address: | 442 W. Kennedy Blvd., Suite 280, Tampa, FL, FL 33606 |
| Address: | 7512 DR. PHILLIPS BLVD STE 50-223, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669027231 | 2019-08-09 | 2019-08-09 | 5510 N HESPERIDES ST, TAMPA, FL, 336145414, US | 5510 N HESPERIDES ST, TAMPA, FL, 336145414, US | |||||||||||||
|
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| Phone | +1 813-462-2588 |
Authorized person
| Name | JOSH MAYWALT |
| Role | BILLING MANAGER |
| Phone | 8134622588 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TK REGISTERED AGENT, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SITES, IRA J, III MD | Manager | 2625 GRAND LAKESIDE DR, PALM HARBOR, FL 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-18 | 7512 DR. PHILLIPS BLVD STE 50-223, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-07-01 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
