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ORLANDO CENTER FOR ANXIETY PLLC

Company Details

Entity Name: ORLANDO CENTER FOR ANXIETY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Aug 2023 (2 years ago)
Document Number: L23000377219
FEI/EIN Number 93-2856590
Address: 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786
Mail Address: 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124806823 2023-09-15 2023-09-15 11325 CENTER LAKE DR UNIT 2104, WINDERMERE, FL, 347865542, US 11325 CENTER LAKE DR UNIT 2104, WINDERMERE, FL, 347865542, US

Contacts

Phone +1 972-922-6124

Authorized person

Name ALEXANDER LEZON
Role OWNER
Phone 9729226124

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
LEZON, ALEXANDER E Agent 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786

Manager

Name Role Address
LEZON, ALEXANDER E Manager 6111 LAKE LODGE DR, WINTER GARDEN, FL 34787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000094126 ORCA ACTIVE 2023-08-11 2028-12-31 No data 1701 N LOIS AVE, UNIT 281, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-06 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786 No data
CHANGE OF MAILING ADDRESS 2024-02-06 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 11325 Center Lake Drive, Unit 2104, Windermere, FL 34786 No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-06
Florida Limited Liability 2023-08-10

Date of last update: 09 Feb 2025

Sources: Florida Department of State