| Entity Name: | PREVENTIVE MEDICAL & DIAGNOSTIC CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Mar 2023 (2 years ago) |
| Date of dissolution: | 12 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | L23000155239 |
| Address: | 2714 PRESTWICK LN, KISSIMMEE, FL 34744 UN |
| Mail Address: | 2714 PRESTWICK LN, KISSIMMEE, FL 34744 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730874058 | 2023-04-11 | 2023-04-11 | 5008 LONDON CREEK PL, KISSIMMEE, FL, 347582286, US | 2714 PRESTWICK LN, KISSIMMEE, FL, 347448527, US | |||||||||||||
|
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| Phone | +1 407-764-7679 |
Authorized person
| Name | MR. AMERICO ORTIZ |
| Role | CEO |
| Phone | 4077647679 |
Taxonomy
| Taxonomy Code | 2083P0901X - Public Health & General Preventive Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PACHECO, MAYRA | Agent | 2417 PRESTWICK LN, KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| ORTIZ, AMERICO | Chief Executive Officer | 5008 LONDON CREEK PL, KISSIMMEE, FL 34758 |
| PACHECO, MAYRA | Chief Executive Officer | 2714 PRESTWICK LN, KISSIMMEE, FL 34744 UN |
| Name | Role | Address |
|---|---|---|
| BAEZ, YASHIRA I | Manager | 5008 LONDON CREEK PL, KISSIMEE, FL 34758 |
| Name | Role | Address |
|---|---|---|
| DIAZ, DANNY | Chief Financial Officer | 2714 PRESTWICK LN, KISSIMMEE, FL 34744 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-12 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-12 |
| Florida Limited Liability | 2023-03-28 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
