| Entity Name: | MICHAEL JON RINALDI, DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Feb 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Sep 2018 (6 years ago) |
| Document Number: | P05000024565 |
| FEI/EIN Number | 383191291 |
| Address: | 5216 Willing St, Milton, FL, 32570, US |
| Mail Address: | 5216 Willing St, MILTON, FL, 32570, US |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043207640 | 2005-09-29 | 2019-06-26 | 5230 WILLING ST, MILTON, FL, 325704971, US | 150 E REDSTONE AVE, SUITE B, CRESTVIEW, FL, 325395357, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 850-983-7778 |
| Fax | 8509837785 |
Authorized person
| Name | DR. MICHAEL J RINALDI |
| Role | OWNER |
| Phone | 8509837778 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | OS7850 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271433700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RINALDI MICHAEL J | Agent | 5216 Willing St, MILTON, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| RINALDI MICHAEL J | Director | 5216 Willing St, Milton, FL, 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-25 | 5216 Willing St, Milton, FL 32570 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-25 | 5216 Willing St, MILTON, FL 32570 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-25 | 5216 Willing St, Milton, FL 32570 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-28 | RINALDI, MICHAEL J | No data |
| REINSTATEMENT | 2018-09-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2011-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-23 |
| REINSTATEMENT | 2018-09-05 |
| ANNUAL REPORT | 2012-09-01 |
| REINSTATEMENT | 2011-10-04 |
| REINSTATEMENT | 2010-10-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
