Entity Name: | INNOVACARE CENTRAL FLORIDA PHYSICIANS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
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: | 10 Apr 2020 (5 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 26 Aug 2020 (5 years ago) |
Document Number: | M20000003623 |
FEI/EIN Number |
85-0559833
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 425 W. COLONIAL DR., SUITE 303, Orlando, FL, 32804, US |
Mail Address: | 425 W. COLONIAL DR., SUITE 303, Orlando, FL, 32804, US |
ZIP code: | 32804 |
County: | Orange |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275200248 | 2021-08-26 | 2021-08-26 | 1111 7TH AVE N STE 107, SAINT PETERSBURG, FL, 337051348, US | 1111 7TH AVE N STE 107, SAINT PETERSBURG, FL, 337051348, US | |||||||||||||
|
Phone | +1 727-894-1661 |
Authorized person
Name | DWIGHT PEREZ |
Role | CREDENTIALING SPECIALIST |
Phone | 3057337513 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
ICH Flow-Through, LLC | Sole | 6900 Tavistock Lakes Blvd., Orlando, FL, 32827 |
Abbott Will | Chief Operating Officer | 6900 Tavistock Lakes Blvd., Orlando, FL, 32827 |
Malton Douglas | Vice President | 6900 Tavistock Lakes Blvd., Orlando, FL, 32827 |
Brown David | Secretary | 6900 Tavistock Lakes Blvd., Orlando, FL, 32827 |
Ravi Chari | Chief Operating Officer | 6900 Tavistock Lakes Blvd., Orlando, FL, 32827 |
JORDAN TERESA | CHIE | 425 W. COLONIAL DR., Orlando, FL, 32804 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000113497 | ANGLIN MEDICAL | ACTIVE | 2021-09-02 | 2026-12-31 | - | 13045 SUMMERFIELD SQUARE DR, RIVERVIEW, FL, 33578 |
G21000106468 | ALLY HEALTHCARE | ACTIVE | 2021-08-17 | 2026-12-31 | - | 9740 N. 56TH STREET, SUITE B,, TEMPLE TERRACE, FL, 33617 |
G21000106467 | DR. BRIDGET BELLINGAR DO & ASSOCIATES | ACTIVE | 2021-08-17 | 2026-12-31 | - | 7101 PARK STREET NORTH,, SEMINOLE, FL, 33777 |
G21000088709 | ANGLIN MEDICAL | ACTIVE | 2021-07-06 | 2026-12-31 | - | 44 SOUTH BROADWAY, 1ST FLOOR, WHITE PLAINS, NY, 10601 |
G21000088661 | TITUSVILLE MEDICAL CENTER | ACTIVE | 2021-07-06 | 2026-12-31 | - | 425 W COLONIAL DR STE 303, ORLANDO, FL, 32804 |
G21000088655 | RADHA MEDICAL | ACTIVE | 2021-07-06 | 2026-12-31 | - | 425 W COLONIAL DR STE 303, ORLANDO, FL, 32804 |
G21000088701 | SHREEJI MEDICAL | ACTIVE | 2021-07-06 | 2026-12-31 | - | 425 W COLONIAL DR STE 303, ORLANDO, FL, 32804 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-01-03 | 425 W. COLONIAL DR., SUITE 303, Orlando, FL 32804 | - |
CHANGE OF MAILING ADDRESS | 2025-01-03 | 425 W. COLONIAL DR., SUITE 303, Orlando, FL 32804 | - |
CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 | - |
CHANGE OF MAILING ADDRESS | 2024-04-25 | 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 | - |
LC AMENDMENT | 2020-08-26 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-03 |
ANNUAL REPORT | 2024-04-25 |
AMENDED ANNUAL REPORT | 2023-12-07 |
AMENDED ANNUAL REPORT | 2023-08-23 |
ANNUAL REPORT | 2023-03-02 |
ANNUAL REPORT | 2022-03-29 |
AMENDED ANNUAL REPORT | 2021-09-13 |
AMENDED ANNUAL REPORT | 2021-09-03 |
ANNUAL REPORT | 2021-04-02 |
LC Amendment | 2020-08-26 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State