Entity Name: | VALORA MEDICAL CENTER OF FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: | Active |
Date Filed: | 13 Mar 2024 (a year ago) |
Document Number: | M24000003264 |
FEI/EIN Number | 991839149 |
Mail Address: | 9368 BLANCHE COVE DR., WINDERMERE, FL, 34786, US |
Address: | 7151 University Blvd, Unit 100, Winter Park, FL, 32792, US |
ZIP code: | 32792 |
County: | Orange |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316705650 | 2024-03-11 | 2024-04-02 | 5601 EXECUTIVE DR STE 200, IRVING, TX, 750382508, US | 819 E OAK ST STE A, KISSIMMEE, FL, 347445842, US | |||||||||||||||
|
Phone | +1 844-825-6724 |
Fax | 9726379256 |
Authorized person
Name | MRS. PATRICIA PICHARDO |
Role | COO |
Phone | 4074601292 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
PICHARDO NELSON | PAP | 9368 BLANCHE COVE DR., WINDERMERE, FL, 34786 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 7151 University Blvd, Unit 100, Winter Park, FL 32792 | No data |
Name | Date |
---|---|
Foreign Limited | 2024-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State