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TELE MED CLINIX LLC - Florida Company Profile

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Company Details

Entity Name: TELE MED CLINIX LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Apr 2020 (5 years ago)
Document Number: L20000107642
FEI/EIN Number 85-0761834
Address: 570 Lexington Green Ln, Sanford, FL, 32771, US
Mail Address: 570 Lexington Green Ln, Sanford, FL, 32771, US
ZIP code: 32771
City: Sanford
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DELGADO LUIS Manager 1022 CLUB HOUSE BLVD, NEW SMYRNA BEACH, FL, 32168
Brown Andrew N Manager 149 James Pl, Maitland, FL, 32751
Biemer Theresa A Manager 4885 River Oak Ln, Fort Pierce, FL, 34981
Levine Jack Manager 2510 Ridgewind Way, Windermere, FL, 34786
Delgado Luis A Agent 1022 Club House Blvd., New Smyrna Beach, FL, 32168

National Provider Identifier

NPI Number:
1780204305
Certification Date:
2023-05-17

Authorized Person:

Name:
DAVID KNIGHT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000067568 TELE MED CLINIX LOUISIANA ACTIVE 2025-05-22 2030-12-31 - 570 LEXINGTON GREEN LANE, SANFORD, FL, 32771
G25000067570 TELE MED CLINIX LA ACTIVE 2025-05-22 2030-12-31 - 570 LEXINGTON GREEN LANE, SANFORD, FL, 32771
G22000048898 TELE MED CLINIX LLC ACTIVE 2022-04-18 2027-12-31 - 541 NORTH PALMETTO AVENUE, SUITE 104-B, SANFORD, FL, 32771

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-08-09 Delgado, Luis A -
REGISTERED AGENT ADDRESS CHANGED 2024-08-09 1022 Club House Blvd., New Smyrna Beach, FL 32168 -
CHANGE OF PRINCIPAL ADDRESS 2024-03-13 570 Lexington Green Ln, Sanford, FL 32771 -
CHANGE OF MAILING ADDRESS 2024-03-13 570 Lexington Green Ln, Sanford, FL 32771 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
AMENDED ANNUAL REPORT 2024-08-09
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-15
Florida Limited Liability 2020-04-20

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Date of last update: 01 Jul 2025

Sources: Florida Department of State