| Entity Name: | FLORIDA ADVANCED MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 May 2020 (5 years ago) |
| Document Number: | L20000122248 |
| FEI/EIN Number | 85-0998589 |
| Address: | 13550 village park drive, Unit 220, orlando, FL 32837 |
| Mail Address: | 11310 Lemon Lake Boulevard, Orlando, FL 32836 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386268993 | 2020-05-31 | 2022-05-18 | 13550 VILLAGE PARK DR STE 220, ORLANDO, FL, 328377835, US | 13550 VILLAGE PARK DR STE 220, ORLANDO, FL, 328377835, US | |||||||||||||||
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| Fax | 8333982081 |
| Phone | +1 407-738-0803 |
Authorized person
| Name | ABBAS RIZVI |
| Role | MANAGER/OWNER |
| Phone | 4077380803 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIZVI, ABBAS A | Agent | 11310 Lemon Lake Boulevard, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| RIZVI, ABBAS A | Manager | 11310 Lemon Lake Boulevard, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| Rizvi, Farisha | Authorized Representative | 11310 Lemon Lake Boulevard, Orlando, FL 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 13550 village park drive, Unit 220, orlando, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 13550 village park drive, Unit 220, orlando, FL 32837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-30 | 11310 Lemon Lake Boulevard, 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 |
| Florida Limited Liability | 2020-05-06 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
