| Entity Name: | LAMA PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Jul 2021 (4 years ago) |
| Document Number: | M21000000221 |
| FEI/EIN Number | 85-4215312 |
| Address: | 425 W.COLONIAL DR., STE 303, ORLANDO, FL 32804 |
| Mail Address: | 425 W.COLONIAL DR., STE 303, ORLANDO, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902571136 | 2021-08-10 | 2021-08-10 | 105 S DIXIE DR, HAINES CITY, FL, 338442844, US | 105 S DIXIE DR, HAINES CITY, FL, 338442844, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 863-421-1190 |
| Fax | 8634227393 |
Authorized person
| Name | DWIGHT PEREZ |
| Role | CREDENTIALING SPECIALIST |
| Phone | 3057335713 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Brown, David | Secretary | 425 W.COLONIAL DR., STE 303 ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| MCBRIEN, ANDREW | PRESIDENT | 425 W.COLONIAL DR., STE 303 ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| CAREY, AMY MOYER | Chief Operating Officer | 425 W.COLONIAL DR., STE 303 ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| OZCAN, MANUK | Chief Financial Officer | 425 W.COLONIAL DR., STE 303 ORLANDO, FL 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000006915 | DR. LAMA MEDICAL CENTER | ACTIVE | 2021-01-14 | 2026-12-31 | No data | 44 SOUTH BROADWAY, 1ST FLOOR, WHITE PLAINS, NY, 10601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-03 | 425 W.COLONIAL DR., STE 303, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-03 | 425 W.COLONIAL DR., STE 303, ORLANDO, FL 32804 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 | No data |
| LC AMENDMENT | 2021-07-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-04-25 |
| AMENDED ANNUAL REPORT | 2023-12-06 |
| AMENDED ANNUAL REPORT | 2023-09-15 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-29 |
| LC Amendment | 2021-07-15 |
| Foreign Limited | 2021-01-07 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
