| Entity Name: | DANIEL R. RENUART, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DANIEL R. RENUART, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 06 Nov 2000 (25 years ago) |
| Document Number: | P00000104340 |
| FEI/EIN Number |
582583454
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 900 INGRAHAM AVE, HAINES CITY, FL, 33844, US |
| Mail Address: | 900 INGRAHAM AVE, HAINES CITY, FL, 33844, US |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346206935 | 2006-04-24 | 2011-10-19 | 900 INGRAHAM AVE, HAINES CITY, FL, 338444336, US | 900 INGRAHAM AVE, HAINES CITY, FL, 338444336, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-421-6565 |
| Fax | 8634217474 |
Authorized person
| Name | DR. DANIEL ROBERT RENUART |
| Role | PRESIDENT |
| Phone | 8634216565 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME70353 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD # |
| Number | 74525 |
| State | FL |
| Issuer | MEDICAID |
| Number | 272383200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 272383201 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RENUART DANIEL R | Director | 901 POINTE EVA PLACE, HAINES CITY, FL, 33844 |
| MORRISON JOSEPH A | Agent | 4416 FLORIDA NATIONAL DRIVE, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G01304900013 | RAILROAD PARK PEDIATRICS | ACTIVE | 2001-10-31 | 2026-12-31 | - | 900 INGRAHAM AVENUE, HAINES CITY, FL, 33844 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-12 | 900 INGRAHAM AVE, HAINES CITY, FL 33844 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-12 | 900 INGRAHAM AVE, HAINES CITY, FL 33844 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-19 | 4416 FLORIDA NATIONAL DRIVE, LAKELAND, FL 33813 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 01 May 2025
Sources: Florida Department of State
