| Entity Name: | PRAMILA MITRA RESPIRATORY SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2002 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Nov 2010 (14 years ago) |
| Document Number: | P02000102678 |
| FEI/EIN Number | 522380049 |
| Address: | 3306 SW 26TH AVE, SUITE 402, OCALA, FL, 34471, US |
| Mail Address: | 3306 SW 26TH AVE, SUITE 402, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982634259 | 2006-07-03 | 2023-05-15 | 3306 SW 26TH AVE, STE 402, OCALA, FL, 344717855, US | 3306 SW 26TH AVE, SUITE 402, OCALA, FL, 344717855, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-237-4545 |
| Fax | 3522379655 |
Authorized person
| Name | MRS. PRAMILA MITRA |
| Role | OWNER |
| Phone | 3522374545 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1879 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32-03069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE HMO PROVIDER NUM |
| Number | F00712 |
| State | FL |
| Issuer | MEDICAID |
| Number | 025787700 |
| State | FL |
| Issuer | BC/BS PROVIDER NUMBER |
| Number | R9372 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITRA PRAMILA | Agent | 3306 SW 26TH AVE, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| PRAMILA MITRA | President | 3306 SW 26TH AVE., SUITE 402, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G03062900212 | PRAMILA MITRA RESPIRATORY SERVICES, INC DBA PM RESPIRATORY SERVICES | ACTIVE | 2003-03-03 | 2028-12-31 | No data | 3306 SW 26TH AVE, SUITE 402, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-16 | 3306 SW 26TH AVE, SUITE 402, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-16 | 3306 SW 26TH AVE, SUITE 402, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-16 | 3306 SW 26TH AVE, SUITE 402, OCALA, FL 34471 | No data |
| REINSTATEMENT | 2010-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2004-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-07 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-07-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4007868405 | 2021-02-05 | 0491 | PPS | 3306 SW 26th Ave Ste 402, Ocala, FL, 34471-7855 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
