| Entity Name: | INNOVATIVE UROLOGY OF ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Sep 2023 (a year ago) |
| Document Number: | L23000414135 |
| FEI/EIN Number | 93-3329049 |
| Address: | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 |
| Mail Address: | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477329688 | 2023-11-29 | 2024-04-01 | 10125 W COLONIAL DR STE 218, OCOEE, FL, 347614200, US | 10125 W COLONIAL DR STE 218, OCOEE, FL, 347614200, US | |||||||||||||||||
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| Phone | +1 689-212-5317 |
| Phone | +1 407-723-0041 |
| Fax | 4077230045 |
Authorized person
| Name | DR. BRIAN MITCHELL PARNES |
| Role | PROVIDER/OWNER |
| Phone | 8087218216 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARNES, BRIAN M, MD | Agent | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 |
| Name | Role | Address |
|---|---|---|
| PARNES, BRIAN M, MD | Manager | 10125 W Colonial Dr, 218 ORLANDO, FL 34761 |
| PARNES, JOY B | Manager | 10125 W Colonial Dr, 218 ORLANDO, FL 34761 |
| Name | Role | Address |
|---|---|---|
| Jamie, Martinez | Director of Operations | 10125 W Colonial Dr, 218 ORLANDO, FL 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-14 | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-14 | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 10125 W Colonial Dr, 218, ORLANDO, FL 34761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-03-14 |
| Florida Limited Liability | 2023-09-05 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
