| Entity Name: | INNOCENT ODOCHA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2003 (22 years ago) |
| Document Number: | P03000076088 |
| FEI/EIN Number | 050577711 |
| Mail Address: | 605 NE 1st Street, Gainesville, FL, 32601, US |
| Address: | 605 NE 1st Street, GAINESVILLE, FL, 32601, US |
| ZIP code: | 32601 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477719763 | 2008-08-06 | 2008-08-06 | 1026 SW 2ND AVE, SUITE E, GAINESVILLE, FL, 326016134, US | 1026 SW 2ND AVE, SUITE E, GAINESVILLE, FL, 326016134, US | |||||||||||||
|
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| Phone | +1 352-371-3212 |
Authorized person
| Name | DR. INNOCENT ODOCHA |
| Role | PHYSICIAN |
| Phone | 3523713212 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NWOKEDI ODOCHA INNOCENT M | Agent | 605 NE 1st Street, GAINESVILLE, FL, 32601 |
| Name | Role | Address |
|---|---|---|
| NWOKEDI ODOCHA INNOCENT M | Director | 7804 SW 52 PL, GAINESVILLE, FL, 32608 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000109026 | PRIMARY CARE INSTITUTE | EXPIRED | 2015-10-26 | 2020-12-31 | No data | C/O INNOCENT ODOCHA, 816 NW 13TH STREET, GAINESVILLE, FL, 32601 |
| G09007900002 | PRIMARY CARE INSTITUTE | EXPIRED | 2009-01-07 | 2014-12-31 | No data | C/O INNOCENT ODOCHA, 1026 SW 2ND AVE, GAINESVILLE, FL, 32601 |
| G08242900003 | ODOCHA FAMILY MEDICINE & ASSOCIATES | EXPIRED | 2008-08-29 | 2013-12-31 | No data | C/O INNOCENT NWOKEDI ODOCHA, M.D., 1026 SW 2ND AVE., STE. E, GAINESVILLE, FL, 32601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 605 NE 1st Street, GAINESVILLE, FL 32601 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-30 | 605 NE 1st Street, GAINESVILLE, FL 32601 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 605 NE 1st Street, GAINESVILLE, FL 32601 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-09-16 |
| ANNUAL REPORT | 2020-09-18 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
