| Entity Name: | OLUFISAYO ARUBUOLA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Oct 2004 (20 years ago) |
| Document Number: | P04000148059 |
| FEI/EIN Number | 51-0530402 |
| Address: | 6817 SOUTHPOINT PKWY, STE 1704, JACKSONVILLE, FL 32216 |
| Mail Address: | P.O. BOX 16574, JACKSONVILLE, FL 32245 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710170113 | 2007-08-20 | 2008-01-09 | PO BOX 16574, JACKSONVILLE, FL, 322456574, US | 800 PRUDENTIAL DR, JACKSONVILLE, FL, 322078202, US | |||||||||||||||||||
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| Phone | +1 904-881-1242 |
| Fax | 9045389433 |
Authorized person
| Name | DR. OLUFISAYO E ARUBUOLA |
| Role | PRESIDENT |
| Phone | 9048811242 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME87521 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, KEITH E, CPA | Agent | 2528 WEDGEFIELD BOULEVARD, JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| ARUBUOLA, OLUFISAYO | President | 6817 SOUTHPOINT PKWY, STE 1704 JACKSONVILLE, FL 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-17 | JOHNSON, KEITH E, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-17 | 2528 WEDGEFIELD BOULEVARD, JACKSONVILLE, FL 32211 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 6817 SOUTHPOINT PKWY, STE 1704, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-10 | 6817 SOUTHPOINT PKWY, STE 1704, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-05 |
| Reg. Agent Change | 2022-03-17 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-15 |
| ANNUAL REPORT | 2016-04-19 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
