| Entity Name: | VICTOR ARBOLEDA MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2002 (22 years ago) |
| Document Number: | P02000107985 |
| FEI/EIN Number | 571150801 |
| Address: | 525 S HERCULES AVE, STE 102, CLEARWATER, FL, 33764 |
| Mail Address: | 525 S HERCULES AVE, STE 102, CLEARWATER, FL, 33764 |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427185628 | 2007-02-27 | 2010-01-26 | 525 S HERCULES AVE, STE 102, CLEARWATER, FL, 337646320, US | 525 S HERCULES AVE, STE 102, CLEARWATER, FL, 337646313, US | |||||||||||||||||||
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| Phone | +1 727-442-6068 |
| Fax | 7274434894 |
Authorized person
| Name | VICTOR ARBOLEDA |
| Role | PRESIDENT |
| Phone | 7274426068 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME67231 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARBOLEDA ELIZABETH | Agent | 2415 FLINT LOCK DR, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| ARBOLEDA VICTOR M | Director | 2415 FLINT LOCK DR, CLEARWATER, FL, 33765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-21 | 2415 FLINT LOCK DR, CLEARWATER, FL 33765 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-27 | 525 S HERCULES AVE, STE 102, CLEARWATER, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-27 | 525 S HERCULES AVE, STE 102, CLEARWATER, FL 33764 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
