| Entity Name: | CORNEILLE MEDICAL TRAINING & CONSULTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Aug 2019 (6 years ago) |
| Document Number: | L19000197987 |
| FEI/EIN Number | 84-2698010 |
| Address: | 6100 Lake Ellenor Drive, Orlando, FL, 32809, US |
| Mail Address: | 6100 Lake Ellenor Drive, Orlando, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982374468 | 2021-09-16 | 2022-02-24 | 6100 LAKE ELLENOR DR STE 300, ORLANDO, FL, 328094638, US | 6100 LAKE ELLENOR DR STE 300, ORLANDO, FL, 328094638, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-358-6640 |
Authorized person
| Name | MS. KETURAH JAROMYRE CORNEILLE |
| Role | OWNER |
| Phone | 4079223570 |
Taxonomy
| Taxonomy Code | 251300000X - Local Education Agency (LEA) |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORNEILLE KETURAH J | Agent | 6100 Lake Ellenor Drive, Orlando, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| CORNEILLE KETURAH J | Manager | 6100 Lake Ellenor Drive, Orlando, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-22 | 6100 Lake Ellenor Drive, #300, Orlando, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-22 | 6100 Lake Ellenor Drive, #300, Orlando, FL 32809 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-22 | 6100 Lake Ellenor Drive, #300, Orlando, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-02-27 |
| Florida Limited Liability | 2019-08-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
