| Entity Name: | ORLANDO PRIMARY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Aug 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 May 2023 (2 years ago) |
| Document Number: | L20000233817 |
| FEI/EIN Number | 852545449 |
| Address: | 11616 LAKE UNDERHILL RD STE 215, ORLANDO, FL, 32825, US |
| Mail Address: | 11616 LAKE UNDERHILL RD STE 215, ORLANDO, FL, 32825, US |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376233346 | 2023-05-11 | 2023-05-11 | 11616 LAKE UNDERHILL RD STE 215, ORLANDO, FL, 328254465, US | 11616 LAKE UNDERHILL RD STE 205, ORLANDO, FL, 328254466, US | |||||||||||||||||||
|
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| Phone | +1 407-601-5308 |
| Fax | 4074828698 |
Authorized person
| Name | VINEEL SOMPALLI |
| Role | MANAGER |
| Phone | 4074827788 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SOMPALLI VINEEL | Agent | 11616 LAKE UNDERHILL RD STE 215, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| SOMPALLI VINEEL | Manager | 11616 LAKE UNDERHILL RD STE 215, ORLANDO, FL, 32825 |
| Name | Role |
|---|---|
| ORLANDO HEART & VASCULAR CENTER, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-05-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-08 | SOMPALLI, VINEEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| REINSTATEMENT | 2023-05-08 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-08-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
