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MID FLORIDA PRIMARY CARE PHYSICIANS ASSOCIATES, P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ROSENDO LEYBERTH MDr. Agent 1475 W ORANGE BLOSSOM TRAIL, APOPKA, FL, 32712

President

Name Role Address
ROSENDO LEYBERTH MMD President 1475 W. ORANGE BLOSSOM TRAIL, APOPKA, FL, 32712

Events

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

Documents

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