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ST. CLOUD PHYSICIAN MANAGEMENT, LLC

Company Details

Entity Name: ST. CLOUD PHYSICIAN MANAGEMENT, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Inactive
Date Filed: 10 Feb 2006 (19 years ago)
Date of dissolution: 19 Nov 2024 (2 months ago)
Last Event: CORPORATE MERGER
Event Date Filed: 19 Nov 2024 (2 months ago)
Document Number: M06000000786
FEI/EIN Number 20-4223288
Address: 1414 Kuhl Ave., MP 2, Orlando, FL 32806
Mail Address: 1414 Kuhl Ave., MP 2, Orlando, FL 32806
ZIP code: 32806
County: Orange
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982909115 2011-01-19 2011-01-19 5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL, 341082733, US 1600 BUDINGER AVE, SUITE D, SAINT CLOUD, FL, 347696008, US

Contacts

Phone +1 239-598-3131
Fax 2395920438
Phone +1 407-892-3387

Authorized person

Name MR. STANLEY D MCLEMORE
Role SENIOR VICE PRESIDENT
Phone 2395983131

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
Zika, Ryan Agent 207 W. Gore St., Suite 201, Orlando, FL 32806

Authorized Member

Name Role
ORLANDO HEALTH MEDICAL GROUP, INC. Authorized Member

Authorized Representative

Name Role Address
Miller, John Authorized Representative 1414 Kuhl Ave., MP 2, Orlando, FL 32806
Taylor , Matthew Authorized Representative 1414 Kuhl Ave., MP 2, Orlando, FL 32806
D'Ortona, Cary Authorized Representative 1414 Kuhl Ave., MP 2, Orlando, FL 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000133855 ORLANDO HEALTH PHYSICIAN ASSOCIATES WALK-IN CLINIC ACTIVE 2020-10-15 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000117112 ORLANDO HEALTH MEDICAL GROUP SURGERY ACTIVE 2020-09-09 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093638 ORLANDO HEALTH MEDICAL GROUP EAR, NOSE AND THROAT ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093637 ORLANDO HEALTH MEDICAL GROUP CARDIOLOGY ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093636 ORLANDO HEALTH MEDICAL GROUP UROLOGY ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093635 ORLANDO HEALTH MEDICAL GROUP VASCULAR SURGERY ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093634 ORLANDO HEALTH PHYSICIAN ASSOCIATES ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000093963 ORLANDO HEALTH MEDICAL GROUP GASTROENTEROLOGY ACTIVE 2020-08-02 2025-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G20000084010 ORLANDO HEALTH MEDICAL GROUP ST. CLOUD ACTIVE 2020-07-17 2025-12-31 No data 1414 KUHL AVE., MP2, ORLANDO, FL, 32806
G18000053747 ST CLOUD MEDICAL GROUP FAMILY PRACTICE KISSIMMEE EXPIRED 2018-04-30 2023-12-31 No data 1300 KEVSTIN DR, KISSIMMEE, FL, 34744

Events

Event Type Filed Date Value Description
MERGER 2024-11-19 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS N94000003930. MERGER NUMBER 900000260959
REINSTATEMENT 2024-11-12 No data No data
REVOKED FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-05 207 W. Gore St., Suite 201, Orlando, FL 32806 No data
CHANGE OF PRINCIPAL ADDRESS 2020-07-14 1414 Kuhl Ave., MP 2, Orlando, FL 32806 No data
CHANGE OF MAILING ADDRESS 2020-07-14 1414 Kuhl Ave., MP 2, Orlando, FL 32806 No data
REGISTERED AGENT NAME CHANGED 2020-07-14 Zika, Ryan No data
LC STMNT OF RA/RO CHG 2014-02-25 No data No data

Documents

Name Date
REINSTATEMENT 2024-11-12
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-26
AMENDED ANNUAL REPORT 2020-07-14
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-28

Date of last update: 03 Jan 2025

Sources: Florida Department of State