| Entity Name: | WINTER PARK PHYSIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Oct 2021 (3 years ago) |
| Document Number: | L21000464935 |
| FEI/EIN Number | 87-3306044 |
| Address: | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 |
| Mail Address: | 5415 Lake Howell Rd #118, Winter Park, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356007512 | 2021-11-11 | 2022-12-20 | 5415 LAKE HOWELL RD STE 118, WINTER PARK, FL, 327921033, US | 200 N LAKEMONT AVE, WINTER PARK, FL, 327923273, US | |||||||||||||
|
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| Phone | +1 407-388-8801 |
Authorized person
| Name | LI LIU |
| Role | OWNER |
| Phone | 4073888801 |
Taxonomy
| Taxonomy Code | 273Y00000X - Rehabilitation Hospital Unit |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LIU, LI | Agent | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| LIU, LI | Authorized Member | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-30 | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 5415 Lake Howell Rd #118, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-10-26 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
