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WALTER A. CONLAN, III. M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: WALTER A. CONLAN, III. M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Aug 2007 (18 years ago)
Date of dissolution: 03 Apr 2018 (7 years ago)
Last Event: CONVERSION
Event Date Filed: 03 Apr 2018 (7 years ago)
Document Number: P07000087821
FEI/EIN Number 260618248
Address: 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822, US
Mail Address: 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822, US
ZIP code: 32822
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CONLAN WALTER A President 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822
CONLAN WALTER A Treasurer 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822
CONLAN WALTER A Director 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822
CONLAN WALTER A Agent 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822

National Provider Identifier

NPI Number:
1558559765

Authorized Person:

Name:
WALTER A CONLAN III
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
4073394903

Form 5500 Series

Employer Identification Number (EIN):
260618248
Plan Year:
2016
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
8
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000041800 ORLANDO WOUND INSTITUTE EXPIRED 2018-03-30 2023-12-31 - 6200 LEE VISTA BLVD, STE 250, ORLANDO, FL, 32822
G10000014279 FLORIDA WOUND CARE DOCTORS EXPIRED 2010-02-12 2015-12-31 - 283 CRANES ROOST BOULEVARD, SUITE 111/1813, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CONVERSION 2018-04-03 - CONVERSION MEMBER. RESULTING CORPORATION WAS L18000084727. CONVERSION NUMBER 900000180639
CHANGE OF PRINCIPAL ADDRESS 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 -
CHANGE OF MAILING ADDRESS 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 -
REGISTERED AGENT NAME CHANGED 2018-03-23 CONLAN, WALTER A, III MD -
REGISTERED AGENT ADDRESS CHANGED 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 -

Documents

Name Date
ANNUAL REPORT 2018-03-23
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-16
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-04-20
ANNUAL REPORT 2011-08-03
ANNUAL REPORT 2011-04-26
ADDRESS CHANGE 2010-07-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State