| Entity Name: | TELE MED CLINIX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TELE MED CLINIX LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Apr 2020 (5 years ago) |
| Document Number: | L20000107642 |
| FEI/EIN Number |
85-0761834
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 570 Lexington Green Ln, Sanford, FL, 32771, US |
| Mail Address: | 570 Lexington Green Ln, Sanford, FL, 32771, US |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780204305 | 2020-04-23 | 2023-05-17 | 541 N PALMETTO AVE STE 104B, SANFORD, FL, 327711371, US | 541 N PALMETTO AVE STE 104B, SANFORD, FL, 327711371, US | |||||||||||||||||||||||
|
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| Phone | +1 321-209-4040 |
Authorized person
| Name | DAVID KNIGHT |
| Role | OWNER |
| Phone | 9176355234 |
Taxonomy
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114165800 |
| State | FL |
| 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 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000048898 | TELE MED CLINIX LLC | ACTIVE | 2022-04-18 | 2027-12-31 | - | 541 NORTH PALMETTO AVENUE, SUITE 104-B, SANFORD, FL, 32771 |
| 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 | - |
| 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 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
