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EAST COLONIAL FAMILY MEDICAL CENTER, INC.

Company Details

Entity Name: EAST COLONIAL FAMILY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Oct 2010 (14 years ago)
Document Number: P10000088498
FEI/EIN Number 273821848
Address: 9464 EAST COLONIAL DRIVE, ORLANDO, FL, 32817
Mail Address: 9464 EAST COLONIAL DRIVE, ORLANDO, FL, 32817
ZIP code: 32817
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144523531 2010-12-07 2022-10-31 9464 E COLONIAL DR, ORLANDO, FL, 328174150, US 9464 E COLONIAL DR, ORLANDO, FL, 328174150, US

Contacts

Phone +1 407-482-9788
Fax 4074827998

Authorized person

Name DR. THANG C PHAM
Role PRESIDENT
Phone 4074829788

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME87463
State FL
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

President

Name Role Address
PHAM THANG M President 9464 EAST COLONIAL DRIVE, ORLANDO, FL, 32817

Secretary

Name Role Address
PHAM THANG M Secretary 9464 EAST COLONIAL DRIVE, ORLANDO, FL, 32817

Director

Name Role Address
PHAM THANG M Director 9464 EAST COLONIAL DRIVE, ORLANDO, FL, 32817

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-04
ANNUAL REPORT 2015-01-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State