| Entity Name: | FLORIDA ADVANCED PRIMARY, URGENT & HOLISTIC MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Sep 2019 (5 years ago) |
| Document Number: | L19000225250 |
| FEI/EIN Number | 84-3055105 |
| Address: | 11310 Lemon Lake Blvd, Orlando, FL 32836 |
| Mail Address: | 11310 Lemon Lake Blvd, Orlando, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649820267 | 2019-09-16 | 2019-09-16 | 2522 OAK RUN BLVD, KISSIMMEE, FL, 347443017, US | 8931 HERITAGE BAY CIR, ORLANDO, FL, 328365026, US | |||||||||||||
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| Phone | +1 407-738-0803 |
Authorized person
| Name | DR. ABBAS RIZVI |
| Role | PRESIDENT |
| Phone | 4077380803 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIZVI, ABBAS A | Agent | 11310 Lemon Lake Blvd, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| RIZVI, ABBAS A | Manager | 11310 Lemon Lake Blvd, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| Rizvi, Farisha | Authorized Representative | 11310 Lemon Lake Blvd, Orlando, FL 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 11310 Lemon Lake Blvd, Orlando, FL 32836 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 11310 Lemon Lake Blvd, Orlando, FL 32836 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-30 | 11310 Lemon Lake Blvd, Orlando, FL 32836 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-02-06 |
| Florida Limited Liability | 2019-09-05 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
