| Entity Name: | FLORICAN MEDICINE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Jul 2019 (6 years ago) |
| Document Number: | L19000175780 |
| FEI/EIN Number | 84-2493543 |
| Address: | 1647 E COLONIAL DR APT 519, Orlando, FL 32803 |
| Mail Address: | 1647 E COLONIAL DR APT 519, Orlando, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417698879 | 2022-04-07 | 2023-09-06 | 1780 WELHAM ST APT 136, ORLANDO, FL, 328146834, US | 3355 E SEMORAN BLVD, APOPKA, FL, 327036062, US | |||||||||||||||
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| Phone | +1 321-272-7142 |
| Phone | +1 407-862-6263 |
Authorized person
| Name | DR. LUIS DANIEL CORREA LUNA |
| Role | CEO |
| Phone | 3212727142 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORREA LUNA, LUIS D | Agent | 3868 LEXMARK LN, 409, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| CORREA LUNA, LUIS D | Manager | 1647 E COLONIAL DR APT 519, ORLANDO, FL 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000134879 | INTERNAL MEDICINE SOLUTION OF CENTRAL FLORIDA | ACTIVE | 2023-11-02 | 2028-12-31 | No data | 3868 LEXMARK LN 409, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-12 | 1647 E COLONIAL DR APT 519, Orlando, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-12 | 1647 E COLONIAL DR APT 519, Orlando, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-06 |
| Florida Limited Liability | 2019-07-08 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
