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CENTRAL FLORIDA CHRONIC CARE MANAGEMENT GROUP LLC

Company Details

Entity Name: CENTRAL FLORIDA CHRONIC CARE MANAGEMENT GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 02 Sep 2022 (2 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L22000387089
Address: 615 N. CHARLES RICARD BEALL BLVD, DEBARY, FL 32713
Mail Address: 615 N. CHARLES RICARD BEALL BLVD, DEBARY, FL 32713
ZIP code: 32713
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902507619 2023-03-10 2023-03-10 615 N. CHARLES RICHARD BEALL BLVD, DEBARY, FL, 32713, US 615 N. CHARLES RICHARD BEALL BLVD, DEBARY, FL, 32713, US

Contacts

Phone +1 386-668-1410

Authorized person

Name HARRY NYANTEH
Role COO
Phone 3868739382

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
ANDOH, YVONNE Agent 2877 DELANEY AVENUE, ORLANDO, FL 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2022-09-02

Date of last update: 11 Jan 2025

Sources: Florida Department of State