| Entity Name: | MYDR FAMILY CLINIC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Apr 2020 (5 years ago) |
| Document Number: | P20000028632 |
| FEI/EIN Number | 85-0498787 |
| Address: | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741, US |
| Mail Address: | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619504479 | 2020-03-23 | 2021-05-24 | 1962 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347413221, US | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347413221, US | |||||||||||||||
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| Phone | +1 407-978-6605 |
| Fax | 4079786610 |
Authorized person
| Name | CARIDAD GONZALEZ |
| Role | OWNER |
| Phone | 4079786605 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ DRA. CARIDAD | Agent | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Caridad | President | 1952 N John Young Pkwy, Kissimmee, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-11 | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-11 | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-11 | GONZALEZ, DRA. CARIDAD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-11 | 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-02 |
| Reg. Agent Change | 2020-06-11 |
| Domestic Profit | 2020-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
