| Entity Name: | LORETTA V. HENDERSON, DPM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Mar 2020 (5 years ago) |
| Document Number: | L20000085834 |
| FEI/EIN Number | 84-5095828 |
| Address: | 1508 VILLAGE OAK LANE, KISSIMMEE, FL 34746 |
| Mail Address: | 1508 VILLAGE OAK LANE, KISSIMMEE, FL 34746 |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124264114 | 2008-12-23 | 2008-12-23 | PO BOX 720849, ORLANDO, FL, 328720849, US | 1543 ALDERSGATE DR, KISSIMMEE, FL, 347466545, US | |||||||||||||||||||
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| Phone | +1 866-365-3668 |
| Fax | 4078707753 |
Authorized person
| Name | LORETTA V HENDERSON |
| Role | PROPRIETOR |
| Phone | 8663653668 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PO1685 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| File Florida Co. | Agent | 7021 University Blvd, Winter Park, FL 32792 |
| Name | Role | Address |
|---|---|---|
| HENDERSON, LORETTA | Manager | P O BOX 720849, ORLANDO, FL 32872 |
| Name | Role | Address |
|---|---|---|
| Haq, Urwah Imran | MANAGER | 1508 village oak lane, Kissummee, FL 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-06 | File Florida Co. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-06 | 7021 University Blvd, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 1508 VILLAGE OAK LANE, KISSIMMEE, FL 34746 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-06 | 1508 VILLAGE OAK LANE, KISSIMMEE, FL 34746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-06 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-19 |
| ANNUAL REPORT | 2021-08-06 |
| Florida Limited Liability | 2020-03-19 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
