| Entity Name: | ASTHMA - ALLERGY CARE CENTER PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2006 (18 years ago) |
| Document Number: | L06000112437 |
| FEI/EIN Number | 205919948 |
| Address: | 1301 SOUTH INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL, 32746 |
| Mail Address: | 1301 SOUTH INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL, 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346299005 | 2006-05-09 | 2020-12-22 | 1301, S. INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL, 327461410, US | 1301, S. INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL, 327461410, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-804-6002 |
| Fax | 4078048777 |
Authorized person
| Name | RAJESH KACHARALAL PATEL |
| Role | OWNER |
| Phone | 4078046002 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| License Number | ME0062618 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207KA0200X - Allergy Physician |
| License Number | ME0062618 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
| License Number | ME0062618 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2080P0201X - Pediatric Allergy/Immunology Physician |
| License Number | ME0062618 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 378852100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL RAJESH K | Agent | 1301 SOUTH INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| PATEL RAJESH K | Managing Member | 1301 SOUTH INTERNATIONAL PKWY STE 1011, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-05 | 1301 SOUTH INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2007-02-05 | 1301 SOUTH INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-05 | 1301 SOUTH INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2333858507 | 2021-02-20 | 0491 | PPS | 1301 SOUTH INTERNATIONAL PARKWAY SUITE-1011, LAKE MARY, FL, 32746 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Feb 2025
Sources: Florida Department of State
