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FLORIDA DIABETES, THYROID & ENDOCRINE CENTER, PL

Company Details

Entity Name: FLORIDA DIABETES, THYROID & ENDOCRINE CENTER, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 May 2011 (14 years ago)
Document Number: L11000061394
FEI/EIN Number 452397155
Address: 9143 Southern Breeze Drive, ORLANDO, FL, 32836-2845, US
Mail Address: 9143 Southern Breeze Drive, ORLANDO, FL, 32836-2845, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447531140 2011-09-08 2024-10-25 PO BOX 691045, ORLANDO, FL, 328691045, US 7485 SANDLAKE COMMONS BLVD, ORLANDO, FL, 328198034, US

Contacts

Phone +1 407-574-5161
Fax 4075742633

Authorized person

Name DEEPA TANEJA
Role PRESIDENT
Phone 4075745161

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes
Taxonomy Code 207RI0011X - Interventional Cardiology Physician
Is Primary No

Agent

Name Role Address
TANEJA DEEPA Agent 9143 Southern Breeze Drive, ORLANDO, FL, 328362845

Managing Member

Name Role Address
TANEJA DEEPA Managing Member 9143 Southern Breeze Drive, ORLANDO, FL, 328362845

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000067399 HEART, VASCULAR AND METABOLIC INSTITUTE ACTIVE 2024-05-28 2029-12-31 No data P O BOX 691045, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-02 9143 Southern Breeze Drive, ORLANDO, FL 32836-2845 No data
CHANGE OF MAILING ADDRESS 2014-03-02 9143 Southern Breeze Drive, ORLANDO, FL 32836-2845 No data
REGISTERED AGENT ADDRESS CHANGED 2014-03-02 9143 Southern Breeze Drive, ORLANDO, FL 32836-2845 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State