| Entity Name: | MIRTHA E. CUEVAS, M.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Nov 1978 (46 years ago) |
| Date of dissolution: | 10 May 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 May 2018 (7 years ago) |
| Document Number: | 594181 |
| FEI/EIN Number | 59-1859126 |
| Address: | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 |
| Mail Address: | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962640854 | 2009-01-30 | 2009-01-30 | 2106 E HILLCREST ST, ORLANDO, FL, 328034829, US | 2106 E HILLCREST ST, ORLANDO, FL, 328034829, US | |||||||||||||||||||||||||
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| Phone | +1 407-896-9250 |
| Fax | 4078977096 |
Authorized person
| Name | MRS. MADHUHSHREE DESIRAJU |
| Role | PRESIDENT |
| Phone | 4078969250 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME78762 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 258496400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DESIRAJU, MADHUSHREE PSTD | Agent | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| MADHUSHREE DESIRAJU | President | 1108 CITRUS OAKS RUN, WINTER PARK, FL 32708 |
| Name | Role | Address |
|---|---|---|
| MADHUSHREE DESIRAJU | Secretary | 1108 CITRUS OAKS RUN, WINTER PARK, FL 32708 |
| CARMEN W. COLON | Secretary | 942 MAYFAIR CIRCLE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| MADHUSHREE DESIRAJU | Treasurer | 1108 CITRUS OAKS RUN, WINTER PARK, FL 32708 |
| EDNA MORENO | Treasurer | 4792 CRENSHAW COURT, ORLANDO, FL 32829 |
| Name | Role | Address |
|---|---|---|
| MADHUSHREE DESIRAJU | Director | 1108 CITRUS OAKS RUN, WINTER PARK, FL 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-03 | DESIRAJU, MADHUSHREE PSTD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-27 | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-01-27 | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2003-01-27 | 2106 E. HILLCREST STREET, ORLANDO, FL 32803 | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2002-03-13 | MIRTHA E. CUEVAS, M.D., INC. | No data |
| REINSTATEMENT | 2002-01-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-10 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-02-26 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-04-07 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-03-03 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
