Entity Name: | MID FLORIDA PRIMARY CARE PHYSICIANS ASSOCIATES, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 19 May 1999 (26 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | P99000046808 |
FEI/EIN Number | 593578497 |
Address: | 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL, 32712 |
Mail Address: | P.O. BOX 909, APOPKA, FL, 32704 |
ZIP code: | 32712 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912047390 | 2007-02-07 | 2020-08-22 | PO BOX 909, APOPKA, FL, 327040909, US | 1475 W US HWY 441, APOPKA, FL, 32712, US | |||||||||||||||||||
|
Phone | +1 407-889-8008 |
Fax | 4078898570 |
Authorized person
Name | DR. LEYBERTH MARIO ROSENDO |
Role | PRESIDENT |
Phone | 4078898008 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME72708 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROSENDO LEYBERTH MDr. | Agent | 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL, 32712 |
Name | Role | Address |
---|---|---|
ROSENDO LEYBERTH MMD | President | 1475 W. ORANGE BLOSSOM TRAIL, APOPKA, FL, 32712 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2013-04-30 | ROSENDO, LEYBERTH M, Dr. | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-06-21 | 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL 32712 | No data |
REINSTATEMENT | 2011-06-21 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-06-21 | 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL 32712 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF MAILING ADDRESS | 2003-04-28 | 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL 32712 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-04-30 |
ANNUAL REPORT | 2012-04-29 |
REINSTATEMENT | 2011-06-21 |
ANNUAL REPORT | 2009-04-29 |
ANNUAL REPORT | 2008-04-22 |
ANNUAL REPORT | 2007-04-05 |
ANNUAL REPORT | 2006-04-12 |
ANNUAL REPORT | 2005-05-25 |
ANNUAL REPORT | 2004-01-12 |
ANNUAL REPORT | 2003-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State