| Entity Name: | MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 May 2021 (4 years ago) |
| Date of dissolution: | 27 Dec 2021 (3 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 27 Dec 2021 (3 years ago) |
| Document Number: | M21000006468 |
| FEI/EIN Number |
870859308
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1110 DRUID CIRCLE, LAKE WALES, FL, 33853, US |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982370714 | 2021-08-20 | 2021-08-20 | 31810 HWY 27, HAINES CITY, FL, 338447617, US | 31810 HWY 27, HAINES CITY, FL, 338447617, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 863-877-2411 |
Authorized person
| Name | DWIGHT PEREZ |
| Role | CREDENTIALING SPECIALIST |
| Phone | 3057335713 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| SHINTO RICHARD A | Manager | 44 S BROADWAY STE 100, WHITE PLAINS, NY, 10601 |
| MALTON DOUGLAS | Manager | 44 S BROADWAY STE 100, WHITE PLAINS, NY, 10601 |
| PRIZANT LESLIE | Authorized Person | 44 S BROADWAY STE 100, WHITE PLAINS, NY, 10601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2021-12-27 | - | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2021-12-27 |
| Foreign Limited | 2021-05-26 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
