Entity Name: | PSYCHIATRIC GROUP OF ORLANDO, PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 14 Jul 2003 (22 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 06 Sep 2011 (13 years ago) |
Document Number: | P03000078361 |
FEI/EIN Number | 20-0116459 |
Address: | 422 SOUTH ALAFAYA TR., STE 17, ORLANDO, FL 32828 |
Mail Address: | 2749 RAINBOW SPRINGS LN, ORLANDO, FL 32828 |
ZIP code: | 32828 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134130768 | 2006-08-10 | 2008-01-26 | 2749 RAINBOW SPRINGS LN, ORLANDO, FL, 328287783, US | 422 SOUTH ALAFAYA TRAIL SUITE 17, ORLANDO, FL, 32828, US | |||||||||||||||||||
|
Phone | +1 407-275-0745 |
Fax | 4072750829 |
Authorized person
Name | MR. ALI EL MENSHAWI |
Role | PRESIDENT |
Phone | 4077334314 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
License Number | ME85057 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
EL-MENSHAWI, ALI | Agent | 2749 RAINBOW SPRINGS LN, ORLANDO, FL 32828 |
Name | Role | Address |
---|---|---|
EL-MENSHAWI, ALI | Director | 2749 RAINBOW SPRINGS LN, ORLANDO, FL 32828 |
MELOUKHEIA, AYSHA | Director | 2749 RAINBOW SPRINGS LN, ORLANDO, FL 32828 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2011-09-06 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-03-29 | 422 SOUTH ALAFAYA TR., STE 17, ORLANDO, FL 32828 | No data |
REGISTERED AGENT NAME CHANGED | 2006-04-23 | EL-MENSHAWI, ALI | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-24 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-03-02 |
ANNUAL REPORT | 2020-01-15 |
ANNUAL REPORT | 2019-04-24 |
ANNUAL REPORT | 2018-03-12 |
ANNUAL REPORT | 2017-02-15 |
ANNUAL REPORT | 2016-02-23 |
ANNUAL REPORT | 2015-04-13 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State