| Entity Name: | GERARDO J. RODRIGUEZ, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Sep 2003 (21 years ago) |
| Document Number: | P03000105612 |
| FEI/EIN Number | 200253182 |
| Address: | 3801 N HWY 19-A STE 400, MT DORA, FL, 32757 |
| Mail Address: | 3801 N HWY 19-A STE 400, MT DORA, FL, 32757 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013181650 | 2008-04-15 | 2008-04-15 | 611 W DIXIE AVE, LEESBURG, FL, 347482602, US | 611 W DIXIE AVE, LEESBURG, FL, 347482602, US | |||||||||||||||||
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| Phone | +1 352-383-1245 |
Authorized person
| Name | SUZANNE STAVES |
| Role | OFFICE MANAGER |
| Phone | 3523831245 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME00064748 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ GERARDO J | Agent | 3801 N HWY 19-A STE 400, MT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ GERARDO J | Director | 3801 N HWY 19-A STE 400, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-29 | 3801 N HWY 19-A STE 400, MT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-29 | 3801 N HWY 19-A STE 400, MT DORA, FL 32757 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 3801 N HWY 19-A STE 400, MT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
