| Entity Name: | BAY AREA PRIMARY CARE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Nov 1989 (35 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L28494 |
| FEI/EIN Number | 59-2981700 |
| Mail Address: | 5600 MARINER STREET, SUITE 200, TAMPA, FL 33609 |
| Address: | 7108 N.NEBRASKA AVE., TAMPA, FL 33604 |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104920826 | 2006-09-12 | 2013-02-11 | PO BOX 152534, BAY AREA PRIMARY CARE ASSOC. INC, TAMPA, FL, 336842534, US | 2123 W. DR MLK BLVD, SUITE 203, TAMPA, FL, 336076545, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-239-3262 |
| Fax | 8132376941 |
| Phone | +1 813-870-1600 |
| Fax | 8136738777 |
Authorized person
| Name | PALLAVI K PATEL |
| Role | ADMINISTRATOR |
| Phone | 8132393262 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0039612 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 066613100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL, BIJAL, ESQ | Agent | 5600 MARINER STREET, SUITE 227, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| JUDD, SONALI KMD | President | 7108 N NEBRASKA AVENUE, TAMPA, FL 33604 |
| Name | Role | Address |
|---|---|---|
| JUDD, SCOTT MD | Vice President | 7108 N NEBRASKA AVENUE, TAMPA, FL 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-07 | PATEL, BIJAL, ESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-07 | 5600 MARINER STREET, SUITE 227, TAMPA, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-25 | 7108 N.NEBRASKA AVE., TAMPA, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-25 | 7108 N.NEBRASKA AVE., TAMPA, FL 33604 | No data |
| REINSTATEMENT | 1995-10-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-31 |
| ANNUAL REPORT | 2014-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
