| Entity Name: | HORACIO ARIAS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Jan 1990 (35 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L41469 |
| FEI/EIN Number | 59-2991212 |
| Address: | 2150 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607 |
| Mail Address: | 2150 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497084727 | 2009-12-16 | 2018-07-17 | 2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 336076551, US | 2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 33607, US | |||||||||||||||||||||||||
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| Phone | +1 813-872-1505 |
| Fax | 8138775910 |
Authorized person
| Name | DR. HORACIO ARIAS |
| Role | OWNER |
| Phone | 8138721505 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME27858 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 036488600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARIAS, HORACIO, M.D. | Agent | 2150 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Arias, Horacio | Director | 2150 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 1995-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-02-23 |
| ANNUAL REPORT | 2011-01-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
