| Entity Name: | CRISTINA BALSERA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CRISTINA BALSERA, M.D., 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: | 21 Jul 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P00000069769 |
| FEI/EIN Number |
593659435
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 616 Marmora Ave, Tampa, FL, 33606, US |
| Mail Address: | 616 Marmora Ave, SUITE 208, Tampa, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831365493 | 2008-05-05 | 2008-05-05 | 510 VONDERBURG DR, SUITE 208, BRANDON, FL, 335115980, US | 510 VONDERBURG DR, SUITE 208, BRANDON, FL, 335115980, US | |||||||||||||||||||||||||
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| Phone | +1 813-571-3777 |
| Fax | 8135713737 |
Authorized person
| Name | DR. CRISTIAN BALSERA |
| Role | OWNER |
| Phone | 8135713777 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | ME78809 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 259600800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALSERA CRISTINA M | Director | 616 Marmora Ave, Tampa, FL, 33606 |
| BALSERA CRISTINA M | Agent | 616 Marmora Ave, Tampa, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 616 Marmora Ave, Tampa, FL 33606 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 616 Marmora Ave, Tampa, FL 33606 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-10 | 616 Marmora Ave, SUITE 208, Tampa, FL 33606 | - |
| REINSTATEMENT | 2012-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT NAME CHANGED | 2002-08-07 | BALSERA, CRISTINA MD, PA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-02-16 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-04-13 |
| REINSTATEMENT | 2012-10-08 |
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-23 |
Date of last update: 03 May 2025
Sources: Florida Department of State
