Entity Name: | PRIMARY CARE PEDIATRICS P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 Mar 2002 (23 years ago) |
Document Number: | P02000024618 |
FEI/EIN Number | 043620791 |
Address: | 1507 S. HIAWASSEE ROAD, STE # 105, ORLANDO, FL, 32835 |
Mail Address: | 1507 S. HIAWASSEE ROAD, STE # 105, ORLANDO, FL, 32835 |
ZIP code: | 32835 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760587349 | 2006-09-14 | 2020-08-22 | 1507 S HIAWASSEE RD, STE# 105, ORLANDO, FL, 328355718, US | 1507 S HIAWASSEE RD, STE# 105, ORLANDO, FL, 328355718, US | |||||||||||||||
|
Phone | +1 407-445-9224 |
Fax | 4074456236 |
Authorized person
Name | DR. REVATI D NARAHARI |
Role | PRESIDENT |
Phone | 4074459224 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NARAHARI REVATI | Agent | 1507 S. HIAWASSEE ROAD, ORLANDO, FL, 32835 |
Name | Role | Address |
---|---|---|
NARAHARI REVATI | President | 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835 |
Name | Role | Address |
---|---|---|
NARAHARI REVATI | Secretary | 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835 |
Name | Role | Address |
---|---|---|
NARAHARI REVATI | Treasurer | 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835 |
Name | Role | Address |
---|---|---|
NARAHARI REVATI | Director | 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2012-01-06 | 1507 S. HIAWASSEE ROAD, STE # 105, ORLANDO, FL 32835 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2008-03-05 | 1507 S. HIAWASSEE ROAD, #105, ORLANDO, FL 32835 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-04-26 | 1507 S. HIAWASSEE ROAD, STE # 105, ORLANDO, FL 32835 | No data |
REGISTERED AGENT NAME CHANGED | 2003-03-10 | NARAHARI, REVATI | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-04-15 |
ANNUAL REPORT | 2021-03-12 |
ANNUAL REPORT | 2020-03-20 |
ANNUAL REPORT | 2019-02-22 |
ANNUAL REPORT | 2018-05-01 |
ANNUAL REPORT | 2017-03-01 |
ANNUAL REPORT | 2016-04-12 |
ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State