| Entity Name: | FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Jun 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | P00000053584 |
| FEI/EIN Number |
593649134
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 70 W GORE ST, SUITE 100, ORLANDO, FL, 32806, US |
| Mail Address: | ATTN: CREDENTIALING DEPARTMENT, 70 W GORE ST, SUITE 100, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053600510 | 2011-04-05 | 2011-04-05 | 70 W. GORE STREET, SUITE 100, CREDENTIALING DEPARTMENT, ORLANDO, FL, 328061124, US | 70 W. GORE STREET, SUITE 100, ORLANDO, FL, 328061124, US | |||||||||||||||||||||||||
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| Phone | +1 407-426-8484 |
| Fax | 4074475229 |
Authorized person
| Name | LEE B CECIL |
| Role | CREDENTIALS/MNGD CARE COORDINATOR |
| Phone | 4074268484 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| License Number | 601042 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 260147804 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLORES MARIA R | President | 70 W GORE ST, SUITE 100, ORLANDO, FL, 32806 |
| AKULA GEETHANJALI M | Vice President | 70 W GORE ST, SUITE 100, ORLANDO, FL, 32806 |
| LAZAR RONALD D | Agent | 70 W GORE ST, ORLANDO, FL, 32806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08113700033 | UROLOGY CENTRAL OF FLORIDA | EXPIRED | 2008-04-22 | 2013-12-31 | - | 70 W. GORE STREET, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-08 | 70 W GORE ST, SUITE 100, ORLANDO, FL 32806 | - |
| CHANGE OF MAILING ADDRESS | 2011-03-08 | 70 W GORE ST, SUITE 100, ORLANDO, FL 32806 | - |
| REGISTERED AGENT NAME CHANGED | 2011-03-08 | LAZAR, RONALD DIR. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-08 | 70 W GORE ST, SUITE 100, ORLANDO, FL 32806 | - |
| NAME CHANGE AMENDMENT | 2007-11-26 | FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2010-04-01 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-03-27 |
| Name Change | 2007-11-26 |
| ANNUAL REPORT | 2007-06-15 |
| ANNUAL REPORT | 2006-07-13 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-05-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
