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 |
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 | |||||||||||
|
Name | ADAMAR GONZALEZ |
Role | OWNER |
Phone | 4079308001 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GONZALEZ, ADAMAR | Agent | 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744 |
Name | Role | Address |
---|---|---|
GONZALEZ, ADAMAR | Authorized Member | 2889 SPRING BREEZE WAY, KISSIMMEE, FL 34744 |
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 |
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