Search icon

FSF ORLANDO MSO, LLC

Company Details

Entity Name: FSF ORLANDO MSO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Oct 2021 (3 years ago)
Document Number: L21000437345
FEI/EIN Number 873179900
Address: 3361 ROUSE RD STE 205, ORLANDO, FL, 32817, US
Mail Address: 3361 ROUSE RD STE 205, ORLANDO, FL, 32817, US
ZIP code: 32817
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295488492 2022-01-28 2022-01-28 3361 ROUSE RD STE 205, ORLANDO, FL, 328172137, US 3361 ROUSE RD STE 205, ORLANDO, FL, 328172137, US

Contacts

Phone +1 407-704-1150
Fax 4072866206

Authorized person

Name MRS. SHANA SIMPSON
Role VP OF OPERATIONS
Phone 4077041150

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role
VCORP SERVICES, LLC Agent

Manager

Name Role Address
Torres Joseph L Manager 3361 ROUSE RD STE 205, ORLANDO, FL, 32817

Chief Financial Officer

Name Role Address
Callegari John Chief Financial Officer 3361 ROUSE RD STE 205, ORLANDO, FL, 32817

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-20 1200 S PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-16
AMENDED ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2022-01-28
Florida Limited Liability 2021-10-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State