| Entity Name: | HORIZON MEDICAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Sep 2022 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Oct 2024 (4 months ago) |
| Document Number: | L22000403292 |
| FEI/EIN Number | 92-0425535 |
| Address: | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 |
| Mail Address: | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356121354 | 2023-10-05 | 2023-10-05 | 319 N MANGOUSTINE AVE, SANFORD, FL, 327711098, US | 319 N MANGOUSTINE AVE, SANFORD, FL, 327711098, US | |||||||||||||
|
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| Phone | +1 432-978-1771 |
Authorized person
| Name | MR. AL BISONG JR. |
| Role | MEMBER |
| Phone | 4329781771 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANCHO, KASAMA A | Agent | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 |
| Name | Role | Address |
|---|---|---|
| ALOYSIUS, BISONG T, JR | Authorized Member | 11142 TAEDA DR, ORLANDO, FL 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-27 | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 319 N MANGOUSTINE AVE, SANFORD, FL 32771 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-15 |
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-21 |
| Florida Limited Liability | 2022-09-15 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
