| Entity Name: | DR. JOSE A. RIVERA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2018 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 16 Aug 2024 (6 months ago) |
| Document Number: | L18000224188 |
| FEI/EIN Number | 83-2007062 |
| Address: | 1009 Maitland Center Commons, Suite 213, Maitland, FL, 32751, US |
| Mail Address: | PO BOX 916468, Longwood, FL, 32791, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649881434 | 2020-08-14 | 2024-02-26 | 110 W CITRUS ST, ALTAMONTE SPRINGS, FL, 327142502, US | 110 W CITRUS ST, ALTAMONTE SPRINGS, FL, 327142502, US | |||||||||||||||||||
|
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| Phone | +1 251-901-3011 |
| Fax | 8334696349 |
Authorized person
| Name | DR. JOSE ARNALDO RIVERA |
| Role | PRESIDENT |
| Phone | 2519013011 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Syed Ali Shawn Naqvi | Member | 1009 Maitland Center Commons, Maitland, FL, 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000063509 | PERSONIC HEALTHCARE | ACTIVE | 2023-05-22 | 2028-12-31 | No data | 1009 MAITLAND CENTER COMMONS, SUITE 213, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-11-27 | Registered Agents Inc. | No data |
| LC NAME CHANGE | 2024-08-16 | DR. JOSE A. RIVERA PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-19 | 7901 4th St N, Ste 300, St. Petersburg, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 1009 Maitland Center Commons, Suite 213, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 1009 Maitland Center Commons, Suite 213, Maitland, FL 32751 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-27 |
| AMENDED ANNUAL REPORT | 2024-11-05 |
| LC Name Change | 2024-08-16 |
| ANNUAL REPORT | 2024-06-06 |
| AMENDED ANNUAL REPORT | 2023-04-21 |
| AMENDED ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
