| Entity Name: | ARORA PSYCHIATRIC CONSULTATION SERVICES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 May 2003 (22 years ago) |
| Document Number: | P03000051850 |
| FEI/EIN Number | 900118965 |
| Address: | 3636 University Blvd., South, Suite B2, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 3636 University Blvd., South, Suite B2, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972610012 | 2006-08-24 | 2012-01-13 | 8130 BAYMEADOWS CIRCLE W, STE #109, JACKSONVILLE, FL, 322561837, US | 8130 BAYMEADOWS CIRCLE W, STE #109, JACKSONVILLE, FL, 322561837, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-737-4606 |
| Fax | 9047374366 |
Authorized person
| Name | DR. PRADEEP ARORA |
| Role | PRESIDENT |
| Phone | 9047374606 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME80186 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269029200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARORA PRADEEP M | Agent | 3636 University Blvd., South, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| ARORA PRADEEP M | Director | 3636 University Blvd., South, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| ARORA PRADEEP M | President | 3636 University Blvd., South, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000156092 | ASAP URGENT PSYCHIATRIC CARE | EXPIRED | 2009-09-16 | 2014-12-31 | No data | 8130 BAYMEADOWS CIRCLE W #109, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-14 | 3636 University Blvd., South, Suite B2, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-14 | 3636 University Blvd., South, Suite B2, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-14 | 3636 University Blvd., South, Suite B2, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-03-24 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
