| Entity Name: | ROLANDO A. MENDOZA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jul 1977 (48 years ago) |
| Document Number: | 541822 |
| FEI/EIN Number | 591753990 |
| Address: | 787 37TH ST, SUITE E-210, VERO BEACH, FL, 32960 |
| Mail Address: | 787 37TH ST, SUITE E-210, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790824522 | 2007-02-06 | 2020-08-22 | 787 37TH ST, SUITE E-210, VERO BEACH, FL, 329607305, US | 787 37TH ST, SUITE E-210, VERO BEACH, FL, 329607305, US | |||||||||||||||||||
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| Phone | +1 772-562-5232 |
| Fax | 7725620773 |
Authorized person
| Name | GEMMA I MENDOZA |
| Role | VICE PRESIDENT-SECRETARY |
| Phone | 7725625232 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 0025811 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDOZA, ROLANDO A., M.D.,P.A. | Agent | 787 37TH ST, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| MENDOZA, ROLANDO A. | Treasurer | 787 37TH ST, E-210, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| MENDOZA, GEMMA I. | Vice President | 787 37TH ST, E-210, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| MENDOZA, ROLANDO A. | President | 787 37TH ST, E-210, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
