Entity Name: | CLAUDIO V. BOCADO, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 23 Oct 2003 (21 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | P03000119357 |
FEI/EIN Number | 200325982 |
Address: | 13701 BRUCE B DOWNS BLVD, SUITE 110, TAMPA, FL, 33613, US |
Mail Address: | 13701 BRUCE B DOWNS BLVD, SUITE 110, TAMPA, FL, 33613, US |
ZIP code: | 33613 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083618748 | 2005-06-10 | 2023-06-14 | 13801 BRUCE B DOWNS BLVD STE 201, TAMPA, FL, 336133937, US | 13801 BRUCE B DOWNS BLVD STE 201, TAMPA, FL, 336133937, US | |||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 813-615-1261 |
Fax | 8136151262 |
Authorized person
Name | CLAUDIO V BOCADO |
Role | PRESIDENT |
Phone | 8136151261 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME87559 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AETNA |
Number | 7965514 |
Issuer | MEDICARE RAIL ROAD |
Number | P00067786 |
Issuer | BLUE CROSS/BLUE SHIELD |
Number | 78794 |
Issuer | UNITED HEALTH CARE |
Number | 1887521 |
State | FL |
Issuer | MEDICAID |
Number | 270976700 |
State | FL |
Name | Role | Address |
---|---|---|
BOCADO CLAUDIO V | Agent | 13701 BRUCE B DOWNS BLVD, TAMPA, FL, 33613 |
Name | Role | Address |
---|---|---|
BOCADO CLAUDIO V | President | 13701 BRUCE B. DOWNS BLVD., #110, TAMPA, FL, 33613 |
Name | Role | Address |
---|---|---|
BOCADO CLAUDIO V | Treasurer | 13701 BRUCE B. DOWNS BLVD., #110, TAMPA, FL, 33613 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
REINSTATEMENT | 2019-10-12 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-01-16 | 13701 BRUCE B DOWNS BLVD, SUITE 110, TAMPA, FL 33613 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-01-16 | 13701 BRUCE B DOWNS BLVD, SUITE 110, TAMPA, FL 33613 | No data |
CHANGE OF MAILING ADDRESS | 2018-01-16 | 13701 BRUCE B DOWNS BLVD, SUITE 110, TAMPA, FL 33613 | No data |
REGISTERED AGENT NAME CHANGED | 2016-08-29 | BOCADO, CLAUDIO VMD | No data |
REINSTATEMENT | 2016-08-29 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
CANCEL ADM DISS/REV | 2008-10-29 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J22000341539 | TERMINATED | 1000000928328 | HILLSBOROU | 2022-07-12 | 2032-07-13 | $ 803.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
Name | Date |
---|---|
REINSTATEMENT | 2019-10-12 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-02-06 |
REINSTATEMENT | 2016-08-29 |
ANNUAL REPORT | 2014-03-18 |
ANNUAL REPORT | 2013-03-18 |
ANNUAL REPORT | 2012-03-12 |
ANNUAL REPORT | 2011-02-16 |
ANNUAL REPORT | 2010-03-15 |
ANNUAL REPORT | 2009-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State