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DR. G FAMILY - MEDICAL AND WELLNESS CENTER LLC

Company Details

Entity Name: DR. G FAMILY - MEDICAL AND WELLNESS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 Dec 2021 (3 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 15 Feb 2022 (3 years ago)
Document Number: L22000004906
FEI/EIN Number 87-4363823
Address: 14522 LANDSTAR BLVD, ORLANDO, FL 32824
Mail Address: 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744
ZIP code: 32824
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932810546 2022-12-06 2023-09-29 14522 LANDSTAR BLVD STE 103, ORLANDO, FL, 328246450, US 14522 LANDSTAR BLVD STE 103, ORLANDO, FL, 328246450, US

Authorized person

Name ADAMAR GONZALEZ
Role OWNER
Phone 4079308001

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
GONZALEZ, ADAMAR Agent 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744

Authorized Member

Name Role Address
GONZALEZ, ADAMAR Authorized Member 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-24 14522 LANDSTAR BLVD, ORLANDO, FL 32824 No data
REGISTERED AGENT NAME CHANGED 2023-03-29 GONZALEZ, ADAMAR No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-29 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744 No data
LC DISSOCIATION MEM 2022-02-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-03-29
CORLCDSMEM 2022-02-15
Florida Limited Liability 2021-12-27

Date of last update: 13 Jan 2025

Sources: Florida Department of State