Entity Name: | MARIA C. SOTO-AGUILAR, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Jun 2000 (25 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 01 Mar 2019 (6 years ago) |
Document Number: | P00000062638 |
FEI/EIN Number | 593655471 |
Address: | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667, US |
Mail Address: | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667, US |
ZIP code: | 34667 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639233265 | 2006-12-20 | 2010-12-15 | 14153 YOSEMITE DR, SUITE 201, HUDSON, FL, 346678060, US | 14153 YOSEMITE DR, SUITE 201, HUDSON, FL, 346678060, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 727-697-2150 |
Fax | 7278634757 |
Authorized person
Name | DR. MARIA C SOTO-AGUILAR |
Role | OWNER |
Phone | 7276972150 |
Taxonomy
Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
License Number | ME79740 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 207RR0500X - Rheumatology Physician |
License Number | ME79740 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 259231200 |
State | FL |
Issuer | BLUECROSS BLUE SHIELD FL |
Number | 49628 |
State | FL |
Issuer | AVMED |
Number | 280536 |
State | FL |
Issuer | CIGNA |
Number | 9255006-001 |
State | FL |
Issuer | AETNA |
Number | 7049127 |
State | FL |
Name | Role | Address |
---|---|---|
SOTO-AGUILAR MARIA CMD | Agent | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667 |
Name | Role | Address |
---|---|---|
SOTO-AGUILAR MARIA CDr. | President | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667 |
Name | Role | Address |
---|---|---|
SOTO-AGUILAR MARIA CDr. | Secretary | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667 |
Name | Role | Address |
---|---|---|
SOTO-AGUILAR MARIA CDr. | Treasurer | 14153 YOSEMITE DR, STE #201, HUDSON, FL, 34667 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2019-03-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REINSTATEMENT | 2017-03-10 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
REINSTATEMENT | 2015-03-24 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2015-03-24 | SOTO-AGUILAR, MARIA C, MD | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF MAILING ADDRESS | 2010-04-21 | 14153 YOSEMITE DR, STE #201, HUDSON, FL 34667 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2009-04-09 | 14153 YOSEMITE DR, STE #201, HUDSON, FL 34667 | No data |
CANCEL ADM DISS/REV | 2003-10-20 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-11 |
ANNUAL REPORT | 2022-04-22 |
ANNUAL REPORT | 2021-04-26 |
ANNUAL REPORT | 2020-04-15 |
REINSTATEMENT | 2019-03-01 |
REINSTATEMENT | 2017-03-10 |
REINSTATEMENT | 2015-03-24 |
ANNUAL REPORT | 2013-04-26 |
ANNUAL REPORT | 2012-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State