| Entity Name: | ACTIVEMD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Dec 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: | L22000520160 |
| Address: | 7300 SAND LAKE COMMONS BLVD, BLDG A STE 106, ORLANDO, FL 32819 |
| Mail Address: | 7300 SAND LAKE COMMONS BLVD, BLDG A STE 106, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366154692 | 2022-12-19 | 2022-12-19 | 7300 SANDLAKE COMMONS BLVD STE 106, ORLANDO, FL, 328198011, US | 7300 SANDLAKE COMMONS BLVD STE 106, ORLANDO, FL, 328198011, US | |||||||||||||||
|
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| Phone | +1 407-341-2986 |
| Fax | 4076985751 |
Authorized person
| Name | SHAHID RIAZ |
| Role | OWNER |
| Phone | 4073412986 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIAZ, SHAHID | Agent | 7300 SAND LAKE COMMONS BLVD, BLDG A STE 106, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| MARIE, JANELLE | Manager | 7300 SAND LAKE COMMONS BLVD BLDG A STE 106, ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-12-12 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
