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FMIC 3, LLC

Company Details

Entity Name: FMIC 3, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Nov 2019 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 03 May 2022 (3 years ago)
Document Number: L19000285497
FEI/EIN Number 84-3765758
Address: 339 CYPRESS PARKWAY, SUITE 260, KISSIMMEE, FL 34759
Mail Address: 322 N JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741
ZIP code: 34759
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548807852 2019-12-05 2020-01-16 FMIC, 322 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL, 347414902, US 339 CYPRESS PKWY STE 260, KISSIMMEE, FL, 347593330, US

Contacts

Phone +1 407-944-9355

Authorized person

Name CARMEN O GONZALEZ
Role ADMINISTRATOR
Phone 4079449355

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
PATEL, NEAL H Agent 322 N JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741

President

Name Role Address
PATEL, NEAL H President 322 N JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741

Authorized Member

Name Role Address
PATEL, RADHA Authorized Member 322 N JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-05-03 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2023-02-08
LC Amendment 2022-05-03
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-02-03
Florida Limited Liability 2019-11-15

Date of last update: 16 Jan 2025

Sources: Florida Department of State