| Entity Name: | DR LI INTERNAL MEDICINE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Aug 2021 (3 years ago) |
| Document Number: | P21000071349 |
| FEI/EIN Number | 87-2111256 |
| Address: | 499 E Central Pkwy, Altamonte Springs, FL, 32701, US |
| Mail Address: | 499 E Central Pkwy, Altamonte Springs, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508510884 | 2022-02-07 | 2022-05-20 | 499 E CENTRAL PKWY STE 205, ALTAMONTE SPRINGS, FL, 327013450, US | 499 E CENTRAL PKWY STE 205, ALTAMONTE SPRINGS, FL, 327013450, US | |||||||||||||||
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| Phone | +1 407-960-6709 |
| Fax | 4079606727 |
Authorized person
| Name | DR. JIANYU LI |
| Role | OWNER |
| Phone | 4079606709 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LI JIANYU | Agent | 499 E Central Pkwy, Altamonte Springs, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| LI JIANYU | Director | 499 E Central Pkwy, Altamonte Springs, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 499 E Central Pkwy, Ste 205, Altamonte Springs, FL 32701 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-28 | 499 E Central Pkwy, Ste 205, Altamonte Springs, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-28 | 499 E Central Pkwy, Ste 205, Altamonte Springs, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-28 |
| Domestic Profit | 2021-08-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
