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NICHOLAS G. BAGNOLI, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: NICHOLAS G. BAGNOLI, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Dec 2002 (23 years ago)
Document Number: P03000000232
FEI/EIN Number 134234175
Address: 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835, US
Mail Address: 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835, US
ZIP code: 32835
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BAGNOLI NICHOLAS G President 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835
BAGNOLI NICHOLAS G Vice President 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835
BAGNOLI NICHOLAS G Director 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835
BAGNOLI LAURA M Treasurer 3869 WINDERLAKES DR., ORLANDO, FL, 32835
BAGNOLI LAURA M Director 3869 WINDERLAKES DR., ORLANDO, FL, 32835
DAVID R RAMOS, CPA Agent 4215 OLD HIGHWAY 37, LAKELAND, FL, 33813

National Provider Identifier

NPI Number:
1730411430

Authorized Person:

Name:
DR. NICHOLAS G BAGNOLI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
4076480968

Form 5500 Series

Employer Identification Number (EIN):
134234175
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-17 DAVID R RAMOS, CPA -
REGISTERED AGENT ADDRESS CHANGED 2014-04-17 4215 OLD HIGHWAY 37, LAKELAND, FL 33813 -

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-02-05

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Date of last update: 01 Aug 2025

Sources: Florida Department of State