Provider Profile

THE MINIER WATERFORD LAKES LLC

Health Care Clinic

FACILITY PROFILE

Street Address
  • 12301 LAKE UNDERHILL RD STE 118
    ORLANDO, FL 32828
    County: Orange
  • Phone: (407) 249-8870
Mailing Address
  • 12301 LAKE UNDERHILL RD STE 118
    ORLANDO, FL 32828
    County: Orange
  • Phone: (407) 249-8870
AHCA Reports
Inspection Reports
Inspection Details
Facility Information:
Facility/Provider Type:Health Care Clinic
Medical or Clinic Director:BRANTLEY K MOLPUS
Administrator:BRANTLEY K MOLPUS
Owner/Licensee:THE MINIER WATERFORD LAKES LLC
Owner/Licensee Since:1/4/2008

NamePositionOwnership
BRANTLEY K MOLPUS18%
KELLY L MOLPUS14%
DENISE BLOODSWORTHBOARD MEMBER/OFFICER13%
KEVIN SALLIN9%
RAKESH PAREKH9%
TEJAL PAREKH9%
ARCHENA DABNEYBOARD MEMBER/OFFICER7%
GREGORY DABNEY7%
PRATIKSHA JAY5%
SUNDEEP JAY5%
Profit Status:For-Profit
Licensed Beds:Not Available
AHCA Number (File Number):8388
AHCA Field Office:07
License Number:8093
Current License Effective:3/5/2022
Current License Expires:3/4/2024
License Status:IN REVIEW
Services/Characteristics
Specialty:Urgent CarePIP Recipient
Type:Fixed Location

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.