| Entity Name: | LOUIS J. RASO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 09 Oct 2007 (17 years ago) |
| Document Number: | P02000064569 |
| FEI/EIN Number | 030459843 |
| Address: | 2141 SOUTH ALT A1A, SUITE 110, JUPITER, FL, 33477 |
| Mail Address: | 2141 SOUTH ALT A1A, SUITE 110, JUPITER, FL, 33477 |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528183696 | 2007-03-20 | 2015-03-12 | 2141 S ALTERNATE A1A STE 110, JUPITER, FL, 334774063, US | 2141 S ALTERNATE A1A STE 110, JUPITER, FL, 334774063, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-741-1588 |
| Fax | 5617411123 |
Authorized person
| Name | DR. LOUIS J. RASO |
| Role | OWNER |
| Phone | 5617411588 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME57349 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 4323668 |
| State | FL |
| Issuer | MEDICAID |
| Number | 063392500 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | ME57349 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 11358 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SINGER MICHAEL S | Agent | 3801 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| RASO LOUIS J | Chief Executive Officer | 2141 SOUTH ALT ALA, SUITE 110, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-04-10 | 2141 SOUTH ALT A1A, SUITE 110, JUPITER, FL 33477 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-12 | 2141 SOUTH ALT A1A, SUITE 110, JUPITER, FL 33477 | No data |
| CANCEL ADM DISS/REV | 2007-10-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-10-09 | SINGER, MICHAEL SESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-10-09 | 3801 PGA BOULEVARD, SUITE 604, PALM BEACH GARDENS, FL 33410 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
