| Entity Name: | MEDHEALTH CLINICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jul 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2021 (3 years ago) |
| Document Number: | P19000060603 |
| FEI/EIN Number | 84-2868049 |
| Address: | 1327 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL, 34787, US |
| Mail Address: | 1327 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164045753 | 2020-05-18 | 2024-06-27 | 1327 WINTER GARDEN VINELAND RD STE 130, WINTER GARDEN, FL, 347874363, US | 1327 WINTER GARDEN VINELAND RD STE 130, WINTER GARDEN, FL, 347874363, US | |||||||||||||
|
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| Phone | +1 321-422-2303 |
Authorized person
| Name | DERRICK TAVERAS |
| Role | CEO |
| Phone | 4079476498 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Taveras Derrick | Agent | 1327 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| TAVARES DERRICK | President | 1327 Winter Garden Vineland Rd, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| TAVARES DERRICK | Chairman | 1327 Winter Garden Vineland Rd, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-12-16 | Taveras, Derrick | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-28 | 1327 WINTER GARDEN VINELAND RD, Ste 130, WINTER GARDEN, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-28 | 1327 WINTER GARDEN VINELAND RD, Ste 130, WINTER GARDEN, FL 34787 | No data |
| REINSTATEMENT | 2021-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-24 | 1327 WINTER GARDEN VINELAND RD, Ste 130, WINTER GARDEN, FL 34787 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| AMENDMENT | 2020-04-24 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-16 |
| ANNUAL REPORT | 2024-02-10 |
| AMENDED ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-31 |
| REINSTATEMENT | 2021-09-28 |
| Amendment | 2020-04-24 |
| ANNUAL REPORT | 2020-04-14 |
| Domestic Profit | 2019-07-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
