| Entity Name: | HAMLIN CLINICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jun 2023 (2 years ago) |
| Document Number: | L23000279982 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | 12240 MONTALCINO CIRCLE, WINDERMERE, FL 34786 |
| Address: | 2151 Consulate Drive, Unit 17, Orlando, FL 32837 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235996166 | 2024-03-06 | 2024-03-06 | 12240 MONTALCINO CIR, WINDERMERE, FL, 347865672, US | 2151 CONSULATE DR STE 17, ORLANDO, FL, 328378808, US | |||||||||||||
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| Phone | +1 407-684-5571 |
Authorized person
| Name | RAFAELA GIUNTI BASSO |
| Role | INTERNAL MEDICINE PHYSICIAN |
| Phone | 4076845571 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EXCEL TOTAL BUSINESS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BASSO, RAFAELA G | Manager | 12240 MONTALCINO CIRCLE, WINDERMERE, FL 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000026810 | HAMLIN CLINICAL CENTER | ACTIVE | 2024-02-19 | 2029-12-31 | No data | 12240 MONTALCINO CIR, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 2151 Consulate Drive, Unit 17, Orlando, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-19 | 2151 Consulate Drive, Unit 17, Orlando, FL 32837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-19 | 7575 kingspointe Pkwy, Ste#2, Orlando, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| Florida Limited Liability | 2023-06-09 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
