| Entity Name: | CAROLINA OLDHAM, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Feb 2003 (22 years ago) |
| Document Number: | P03000018657 |
| FEI/EIN Number | 300152047 |
| Address: | Mercy Professional Building, 3661 South Miami Ave, MIAMI, FL, 33133, US |
| Mail Address: | Mercy Professional Building, 3661 South Miami Ave, MIAMI, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083885362 | 2008-03-14 | 2008-08-06 | 2140 SW 25TH ST, MIAMI, FL, 331332412, US | 2140 SW 25TH ST, MIAMI, FL, 331332412, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-280-8822 |
Authorized person
| Name | DR. CAROLINA OLDHAM |
| Role | PRESIDENT |
| Phone | 7862808822 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME81045 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLDHAM CAROLINA | Agent | Mercy Professional Building, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| OLDHAM CAROLINA | Director | Mercy Professional Building, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| OLDHAM CAROLINA | President | Mercy Professional Building, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-29 | Mercy Professional Building, 3661 South Miami Ave, Suite 905, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-29 | Mercy Professional Building, 3661 South Miami Ave, Suite 905, MIAMI, FL 33133 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-29 | Mercy Professional Building, 3661 South Miami Ave, Suite 905, MIAMI, FL 33133 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
