| Entity Name: | DR. LISA LICEAGA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DR. LISA LICEAGA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 2023 (2 years ago) |
| Document Number: | L23000242716 |
| FEI/EIN Number |
93-1433057
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12386 STATE ROAD 535, SUITE 105, ORLANDO, FL, 32836, US |
| Mail Address: | 12386 STATE ROAD 535, SUITE 105, ORLANDO, FL, 32836, US |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447944830 | 2023-06-07 | 2023-06-07 | 12386 STATE ROAD 535 # 105, ORLANDO, FL, 328366701, US | 831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL, 327143502, US | |||||||||||||||||
|
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| Phone | +1 407-801-3295 |
| Fax | 4109077757 |
| Phone | +1 407-587-8600 |
Authorized person
| Name | DR. LISA LICEAGA |
| Role | PHYSICIAN |
| Phone | 9492752718 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LICEAGA LISA | Manager | 12386 STATE ROAD 535, SUITE 105, ORLANDO, FL, 32836 |
| Burrell Marc | Auth | 12386 STATE ROAD 535, ORLANDO, FL, 32836 |
| ZENBUSINESS INC. | Agent | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| Florida Limited Liability | 2023-05-17 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
