| Entity Name: | MARIA ELENA HERNANDEZ BORJAS, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Jan 2023 (2 years ago) |
| Document Number: | P02000082795 |
| FEI/EIN Number | 134205798 |
| Address: | 364 CHESTNUT STREET, CLERMONT, FL, 34711 |
| Mail Address: | PO BOX 120373, CLERMONT, FL, 34712 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952581647 | 2007-11-09 | 2008-02-14 | PO BOX 120373, CLERMONT, FL, 347120373, US | 364 CHESTNUT ST, CLERMONT, FL, 347113022, US | |||||||||||||||||||
|
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| Phone | +1 352-242-4816 |
| Fax | 3522424702 |
Authorized person
| Name | DR. MARIA ELENA HERNANDEZ BORJAS |
| Role | PRESIDENT |
| Phone | 3522424816 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME85427 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARIA E | Agent | 364 CHESTNUT STREET, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARIA E | Manager | POST OFFICE BOX 120373, CLERMONT, FL, 34712 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARIA E | Director | POST OFFICE BOX 120373, CLERMONT, FL, 34712 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06096900210 | WHITE HOUSE MEDICAL CENTER | ACTIVE | 2006-04-06 | 2026-12-31 | No data | P O BOX 120373, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-12 | HERNANDEZ, MARIA E | No data |
| REINSTATEMENT | 2023-01-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-24 | 364 CHESTNUT STREET, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-24 | 364 CHESTNUT STREET, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-24 | 364 CHESTNUT STREET, CLERMONT, FL 34711 | No data |
| NAME CHANGE AMENDMENT | 2004-11-03 | MARIA ELENA HERNANDEZ BORJAS, MD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| REINSTATEMENT | 2023-01-12 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-05-07 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-02-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
