| Entity Name: | ORLANDO PSYCHIATRIC ASSOCIATES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Mar 2005 (20 years ago) |
| Document Number: | P05000048446 |
| FEI/EIN Number | 352250904 |
| Mail Address: | P.O. BOX 714, WINDERMERE, FL, 34786, US |
| Address: | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528172731 | 2006-08-18 | 2023-05-18 | PO BOX 714, WINDERMERE, FL, 347860714, US | 2345 SAND LAKE RD, SUITE 200, ORLANDO, FL, 328099142, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-851-5121 |
| Fax | 4078510439 |
Authorized person
| Name | DR. BHASKAR NANDIMANDALAM RAJU |
| Role | PRESIDENT |
| Phone | 4078515121 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME91130 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009616900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORLANDO PSYCHIATRIC ASSOCIATES INC. 401(K) PROFIT SHARING PLAN | 2023 | 352250904 | 2024-09-16 | ORLANDO PSYCHIATRIC ASSOCIATES INC. | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-16 |
| Name of individual signing | PADMAJA RAJU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 4076943695 |
| Plan sponsor’s address | PO BOX 714, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-14 |
| Name of individual signing | PADMAJA RAJU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 4076943695 |
| Plan sponsor’s address | PO BOX 714, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-02 |
| Name of individual signing | PADMAJA RAJU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RAJU PADDY | Agent | 2345 SAND LAKE ROAD, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| RAJU BHASKAR N | President | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| RAJU BHASKAR N | Chief Executive Officer | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| RAJU PADDY | Vice President | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| RAJU BHASKAR N | Director | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000060015 | OPA BEHAVIORAL HEALTH INC | ACTIVE | 2023-05-12 | 2028-12-31 | No data | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL, 32809 |
| G22000131369 | OPA BEHAVIORAL HEALTH | ACTIVE | 2022-10-20 | 2027-12-31 | No data | P.O. BOX 714, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-29 | RAJU, PADDY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-18 | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-18 | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL 32809 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-18 | 2345 SAND LAKE ROAD, SUITE 200, ORLANDO, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
