| Entity Name: | MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Apr 2022 (3 years ago) |
| Document Number: | L22000193455 |
| FEI/EIN Number | 88-1930414 |
| Address: | 1403 MEDICAL PLAZA DR, SUITE 207, SANFORD, FL 32771 |
| Mail Address: | 1403 MEDICAL PLAZA DR, SUITE 207, SANFORD, FL 32771 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932822566 | 2022-09-20 | 2022-09-20 | 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 327711047, US | 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 327711047, US | |||||||||||||||
|
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| Phone | +1 321-364-0728 |
| Fax | 3213640729 |
Authorized person
| Name | MAGALY VILLAFRADEZ-DIAZ |
| Role | OWNER |
| Phone | 3213640728 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLAFRADEZ-DIAZ, MAGALY, MS | Agent | 1403 MEDICAL PLAZA DR, SUITE 207, SANFORD, FL 32771 |
| Name | Role | Address |
|---|---|---|
| VILLAFRADEZ-DIAZ, MAGALY, MS | Manager | 1403 MEDICAL PLAZA DR SUITE 207, SANFORD, FL 32771 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-23 |
| Florida Limited Liability | 2022-04-22 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
