| Entity Name: | DIGESTIVE DISEASE CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jul 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 2003 (21 years ago) |
| Document Number: | P02000086078 |
| FEI/EIN Number | 52-2370002 |
| Address: | 200 N. John Young Pkwy, kissimmee, FL, 34741, US |
| Mail Address: | 4995 Harvey Grant Rd, Orange park, FL, 32003, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013028778 | 2006-08-31 | 2018-08-24 | 200 N JOHN YOUNG PKWY STE 102, KISSIMMEE, FL, 347416601, US | 200 N JOHN YOUNG PKWY STE 102, KISSIMMEE, FL, 34741, US | |||||||||||||||||||||
|
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| Phone | +1 407-891-8703 |
| Fax | 4078918705 |
Authorized person
| Name | LAKHINDER S BHATIA |
| Role | PRESIDENT |
| Phone | 9048810329 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009737200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BHATIA LAKHINDER S | Agent | 4995 HARVEY GRANT ROAD, ORANGE PARK, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| BHATIA LAKHINDER SP | President | 4995 HARVEY GRANT ROAD, ORANGE PARK, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-06 | 200 N. John Young Pkwy, 103, kissimmee, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-06 | 200 N. John Young Pkwy, 103, kissimmee, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-06 | BHATIA, LAKHINDER S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-06 | 4995 HARVEY GRANT ROAD, ORANGE PARK, FL 32003 | No data |
| REINSTATEMENT | 2003-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
