| Entity Name: | CENTRAL FLORIDA INJURY EAST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Feb 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Aug 2017 (8 years ago) |
| Document Number: | P07000022446 |
| FEI/EIN Number | 208458697 |
| Address: | 8719 SUMMERVILLE PLACE, ORLANDO, FL, 32819, US |
| Mail Address: | 8719 SUMMERVILLE PLACE, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023141819 | 2007-03-13 | 2016-12-06 | 5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL, 328222700, US | 5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL, 328222700, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-275-9334 |
| Fax | 4072759395 |
Authorized person
| Name | DR. JEROLD J FADEM JR. |
| Role | MEDICAL DIRECTOR |
| Phone | 4072759334 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 75343 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME 8351 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1023141819 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FADEM KRISTAL | Agent | 8719 SUMMERVILLE PLACE, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| FADEM KRISTAL | President | 8719 Summerville Place, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| FADEM KRISTAL | Secretary | 8719 Summerville Place, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| FADEM KRISTAL | Treasurer | 8719 Summerville Place, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| FADEM KRISTAL | Director | 8719 Summerville Place, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-26 | 8719 SUMMERVILLE PLACE, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-26 | 8719 SUMMERVILLE PLACE, ORLANDO, FL 32819 | No data |
| AMENDMENT | 2017-08-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-30 | 8719 SUMMERVILLE PLACE, ORLANDO, FL 32819 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-06-30 | FADEM, KRISTAL | No data |
| AMENDMENT | 2017-03-17 | No data | No data |
| AMENDMENT | 2016-08-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-05 |
| Amendment | 2017-08-24 |
| Reg. Agent Change | 2017-06-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
