| Entity Name: | FAMILY MEDICINE INSTITUTE, PROFESSIONAL LIMITED LIABILITY COMPANY |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Feb 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 Jul 2023 (2 years ago) |
| Document Number: | L23000067847 |
| FEI/EIN Number | 92-2320447 |
| Address: | 15532 West Colonial Dr., STE. A, WINTER GARDEN, FL 34787 |
| Mail Address: | 15532 West Colonial Dr., STE. A, WINTER GARDEN, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912609744 | 2023-03-17 | 2023-03-21 | 15126 SHONAN GOLD DR, WINTER GARDEN, FL, 347875684, US | 15126 SHONAN GOLD DR, WINTER GARDEN, FL, 347875684, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 718-924-1316 |
Authorized person
| Name | DR. YASHEL WEDDERBURN LANDELL |
| Role | OWNER/PRESIDENT |
| Phone | 4074594360 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Landell, Yashel Melisa Wedderburn | Authorized Member | 15126 SHONAN GOLD DR., WINTER GARDEN, FL 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-16 | 15532 West Colonial Dr., STE. A, WINTER GARDEN, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-16 | 15532 West Colonial Dr., STE. A, WINTER GARDEN, FL 34787 | No data |
| LC AMENDMENT | 2023-07-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| LC Amendment | 2023-07-31 |
| Florida Limited Liability | 2023-02-07 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
