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EAST ORLANDO PRIMARY CARE, P.A.

Company Details

Entity Name: EAST ORLANDO PRIMARY CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Jan 2002 (23 years ago)
Date of dissolution: 28 Mar 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Mar 2021 (4 years ago)
Document Number: P02000010342
FEI/EIN Number 752989582
Mail Address: PO BOX 780592, ORLANDO, FL, 32878-0592, US
Address: 421 woodbury pines circle, ORLANDO, FL, 32828, US
ZIP code: 32828
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629223227 2008-11-24 2009-01-14 733 S GOLDENROD RD, SUITE B, ORLANDO, FL, 32822, US 733 S. GOLDENROD RD, SUITE B, ORLANDO, FL, 32822, US

Contacts

Phone +1 407-249-7999
Fax 4072490309

Authorized person

Name JULIE M FERNANDEZ
Role PRESIDENT
Phone 4072497999

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number OS 7959
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ JULIE M Agent 421 WOODBURY PINES CIRCLE, ORLANDO, FL, 32828

Director

Name Role Address
FERNANDEZ JULIE M Director 421 WOODBURY PINES CIRCLE, ORLANDO, FL, 32828

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-03-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-29 421 woodbury pines circle, ORLANDO, FL 32828 No data
CHANGE OF MAILING ADDRESS 2019-04-29 421 woodbury pines circle, ORLANDO, FL 32828 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-03-28
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-05-07
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-01-31
ANNUAL REPORT 2015-01-25
ANNUAL REPORT 2014-01-27
ANNUAL REPORT 2013-01-20
ANNUAL REPORT 2012-01-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State