| Entity Name: | COMPLEX CARE OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COMPLEX CARE OF CENTRAL FLORIDA, 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: | 02 Sep 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Oct 2021 (4 years ago) |
| Document Number: | L20000273684 |
| FEI/EIN Number |
85-2675276
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 508 SWEETWATER CLUB CIRCLE, LONGWOOD, FL, 32779 |
| Mail Address: | 508 SWEETWATER CLUB CIRCLE, LONGWOOD, FL, 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114530664 | 2020-08-25 | 2023-02-26 | 508 SWEETWATER CLUB CIR, LONGWOOD, FL, 327792131, US | 508 SWEETWATER CLUB CIR, LONGWOOD, FL, 327792131, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-463-5848 |
Authorized person
| Name | DR. CHRISTIAN A CHABAN |
| Role | OWNER |
| Phone | 4074635848 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018470900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHABAN CHRISTIAN AMD | Manager | 508 SWEETWATER CLUB CIRCLE, LONGWOOD, FL, 32779 |
| CHABAN CHRISTIAN AMD | Agent | 508 SWEETWATER CLUB CIRCLE, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-10-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-10-04 | CHABAN, CHRISTIAN A, MD | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-14 |
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-09-16 |
| ANNUAL REPORT | 2022-07-11 |
| REINSTATEMENT | 2021-10-04 |
| Florida Limited Liability | 2020-09-02 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
