| Entity Name: | MLB ORLANDO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 May 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P05000074452 |
| FEI/EIN Number | 20-2873414 |
| Address: | 4401 SOUTH ORANGE AVENUE, SUITE 117, ORLANDO, FL 32806 |
| Mail Address: | P O BOX 561660, ORLANDO, FL 32856-1660 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205894136 | 2006-05-02 | 2020-08-22 | 4401 S ORANGE AVE, #117, ORLANDO, FL, 328066946, US | 4401 S ORANGE AVE, #117, ORLANDO, FL, 328066946, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-856-0110 |
| Fax | 4078509645 |
Authorized person
| Name | DR. JOHN V MURRAY |
| Role | MEDICAL DIRECTOR |
| Phone | 4078560110 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS OF FLORIDA |
| Number | 77681 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, LOUIS A | Agent | 809 IRMA AVE SUITE 1, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| MURRAY, JOHN | President | 900 S DELANEY AVENUE, ORLANDO, FL 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-09-11 | GONZALEZ, LOUIS A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-09-11 | 809 IRMA AVE SUITE 1, ORLANDO, FL 32801 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-06-21 | 4401 SOUTH ORANGE AVENUE, SUITE 117, ORLANDO, FL 32806 | No data |
| CHANGE OF MAILING ADDRESS | 2006-06-21 | 4401 SOUTH ORANGE AVENUE, SUITE 117, ORLANDO, FL 32806 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-03-30 |
| ANNUAL REPORT | 2006-09-11 |
| Domestic Profit | 2005-05-20 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
