| Entity Name: | WASHINGTON D. BAQUERO, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WASHINGTON D. BAQUERO, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Aug 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Apr 2022 (3 years ago) |
| Document Number: | P02000094532 |
| FEI/EIN Number |
900132827
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1705 COLONIAL BLVD, C-1, FORT MYERS, FL, 33907 |
| Mail Address: | 1705 COLONIAL BLVD, C-1, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124161542 | 2007-02-15 | 2010-12-07 | 1705 COLONIAL BLVD, STE C-1, FORT MYERS, FL, 339071195, US | 1705 COLONIAL BLVD, STE C-1, FORT MYERS, FL, 339071195, US | |||||||||||||||||||||
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| Phone | +1 239-275-4141 |
| Fax | 2392754879 |
Authorized person
| Name | DR. WASHINGTON D. BAQUERO |
| Role | PHYSICIAN |
| Phone | 2392754141 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 038989700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAQUERO WASHINGTON D | Chief Executive Officer | 1705 COLONIAL BLVD, FORT MYERS, FL, 33907 |
| BAQUERO MARIA | MEDI | 1705 COLONIAL BLVD STE. C1, FORT MYERS, FL, 33907 |
| BAQUERO WASHINGTON D MCEO | Agent | 1705 COLONIAL BLVD, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 1705 COLONIAL BLVD, C-1, FORT MYERS, FL 33907 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-18 | BAQUERO, WASHINGTON D MD, CEO | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | 1705 COLONIAL BLVD, STE C1, FORT MYERS, FL 33907 | - |
| REINSTATEMENT | 2022-04-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-08 | 1705 COLONIAL BLVD, C-1, FORT MYERS, FL 33907 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-17 |
| REINSTATEMENT | 2022-04-14 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-03 |
| ANNUAL REPORT | 2014-08-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5260167202 | 2020-04-27 | 0455 | PPP | 1705 Colonial Blvd C1, Fort Myers, FL, 33907 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
