| Entity Name: | CENTRAL FLORIDA FAMILY MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Nov 2005 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P05000152900 |
| FEI/EIN Number | 061755611 |
| Address: | 1170 SEMORAN BLVD, STE A, ORLANDO, FL, 32807 |
| Mail Address: | 1170 SEMORAN BLVD, STE A, ORLANDO, FL, 32807 |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073622247 | 2006-08-30 | 2022-07-21 | 1170 S SEMORAN BLVD, SUITE A, ORLANDO, FL, 328071458, US | 1170 S SEMORAN BLVD, SUITE A, ORLANDO, FL, 328071458, US | |||||||||||||||||
|
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| Phone | +1 407-281-9105 |
| Fax | 4072819305 |
Authorized person
| Name | IVAN REYES |
| Role | C.F.O |
| Phone | 4072819105 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TURK RICHARD | Agent | 1170 SEMORAN BLVD, ORLANDO, FL, 32807 |
| Name | Role |
|---|---|
| EAST ORLANDO MEDICAL CENTER, INC. | President |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-10 | 1170 SEMORAN BLVD, STE A, ORLANDO, FL 32807 | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-10 | 1170 SEMORAN BLVD, STE A, ORLANDO, FL 32807 | No data |
| AMENDMENT | 2006-01-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-02-10 |
| Amendment | 2006-01-09 |
| Domestic Profit | 2005-11-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
