| Entity Name: | G. M. RAMAPPA, M.D., F.A.A.P., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Aug 1982 (42 years ago) |
| Document Number: | F96527 |
| FEI/EIN Number | 592241164 |
| Address: | 12136 COBBLESTONE DR., HUDSON, FL, 34667 |
| Mail Address: | 12136 COBBLESTONE DR., HUDSON, FL, 34667 |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245204833 | 2006-02-13 | 2022-08-25 | 12136 COBBLESTONE DR, HUDSON, FL, 346672432, US | 12136 COBBLESTONE DR, HUDSON, FL, 346672432, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-863-5474 |
| Fax | 7278680312 |
Authorized person
| Name | DR. REDA AWAD |
| Role | PRESIDENT |
| Phone | 7278635474 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 254238201 |
| State | FL |
| Issuer | MEDICAID |
| Number | 108692900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254238200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AWAD REDA | Agent | 12136 COBBLESTONE DR., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| AWAD REDA F | President | 12136 COBBLESTONE DR., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| AWAD REDA F | Secretary | 12136 COBBLESTONE DR., HUDSON, FL, 34667 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000083214 | KIDZ CARE PEDIATRICS | EXPIRED | 2019-08-06 | 2024-12-31 | No data | 12136 COBBLESTONE DR, HUDSON, FL, 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1995-03-02 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1986-11-14 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
