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PRIMARY CARE PEDIATRICS P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
NARAHARI REVATI Agent 1507 S. HIAWASSEE ROAD, ORLANDO, FL, 32835

President

Name Role Address
NARAHARI REVATI President 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835

Secretary

Name Role Address
NARAHARI REVATI Secretary 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835

Treasurer

Name Role Address
NARAHARI REVATI Treasurer 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835

Director

Name Role Address
NARAHARI REVATI Director 1507 S. HIAWASSEE ROAD #105, ORLANDO, FL, 32835

Events

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

Documents

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