| Entity Name: | PATRICIA'S ROCK INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Mar 2024 (a year ago) |
| Document Number: | N12000000883 |
| FEI/EIN Number | 45-4054893 |
| Address: | 2295 S. HIAWASSEE RD, ORLANDO, FL, 32835, US |
| Mail Address: | PO BOX 547194, ORLANDO, FL, 32854, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144687161 | 2016-01-21 | 2016-01-21 | 425 W COLONIAL DR, 201, ORLANDO, FL, 328046863, US | 425 W COLONIAL DR, 201, ORLANDO, FL, 328046863, US | |||||||||||||||||||
|
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| Phone | +1 904-566-1975 |
Authorized person
| Name | DELISA BONAPARTE |
| Role | OWNER |
| Phone | 9045661975 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009272800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BONAPARTE DE LISA | Agent | 2295 S. Hiawassee Rd, Orlando, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| Robinson Drhue | Director | 2295 S. Hiawassee Rd Suite 104, Orlando, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| BONAPARTE DELISA | Treasurer | 2295 S. HIAWASSEE RD, SUITE 104, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| FRASER OWEN DMD | Chairman | 1805 W. COLONIAL DR, SUITE A, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| FRASER OWEN DMD | Chief Executive Officer | 1805 W. COLONIAL DR, SUITE A, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| ROBINSON EVERS | President | 2285 S. HIAWASSEE RD, SUITE 104, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| SMITH JOSEPH R | Secretary | 4325 FOUNTAINVIEW LANE, SUITE 5102, ORLANDO, FL, 32808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-03-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 2295 S. Hiawassee Rd, Ste 104, Orlando, FL 32835 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-18 | 2295 S. HIAWASSEE RD, SUITE 104, ORLANDO, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-27 | 2295 S. HIAWASSEE RD, SUITE 104, ORLANDO, FL 32835 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| Amendment | 2024-03-18 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-08-31 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
