| Entity Name: | CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY A PROFESSIONAL ASSOCIATION |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY A PROFESSIONAL ASSOCIATION is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Jun 1980 (45 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 06 Oct 1987 (37 years ago) |
| Document Number: | 671820 |
| FEI/EIN Number |
591999785
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 801 NORTH ORANGE AVENUE,, SUITE 815, ORLANDO, FL, 32801, US |
| Mail Address: | 801 NORTH ORANGE AVENUE,, SUITE 815, ORLANDO, FL, 32801, US |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902844038 | 2006-06-02 | 2019-12-04 | 2501 N ORANGE AVENUE, SUITE 442, ORLANDO, FL, 32804, US | 801 N ORANGE AVE STE 815, ORLANDO, FL, 328015203, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 407-898-1436 |
| Fax | 4078986330 |
Authorized person
| Name | PAMELA L HENRY |
| Role | OFFICE MANAGER |
| Phone | 4078981436 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HUMANA |
| Number | 168900414910 |
| Issuer | BCBS OF FL |
| Number | 97149 |
| State | FL |
| Issuer | AETNA |
| Number | 0110014 |
| Issuer | FL HOSP HEALTHCARE SYSTEM |
| Number | 51884 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETERS KENDALL KM.D. | President | 801 NORTH ORANGE AVENUE, SUITE 815, ORLANDO, FL, 32801 |
| PETERS KENDALL KM.D. | Secretary | 801 NORTH ORANGE AVENUE, SUITE 815, ORLANDO, FL, 32801 |
| PETERS KENDALL KM.D. | Treasurer | 801 NORTH ORANGE AVENUE, SUITE 815, ORLANDO, FL, 32801 |
| PETERS KENDALL KM.D. | Director | 801 NORTH ORANGE AVENUE, SUITE 815, ORLANDO, FL, 32801 |
| PETERS KENDALL KMD | Agent | 801 NORTH ORANGE AVENUE,, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-04-30 | PETERS, KENDALL K, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-08-19 | 801 NORTH ORANGE AVENUE,, SUITE 815, ORLANDO, FL 32801 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-11 | 801 NORTH ORANGE AVENUE,, SUITE 815, ORLANDO, FL 32801 | - |
| CHANGE OF MAILING ADDRESS | 2013-07-11 | 801 NORTH ORANGE AVENUE,, SUITE 815, ORLANDO, FL 32801 | - |
| NAME CHANGE AMENDMENT | 1987-10-06 | CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY A PROFESSIONAL ASSOCIATION | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-04-01 |
| AMENDED ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
