| Entity Name: | GLORIOSA ANTIPORDA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 May 2005 (20 years ago) |
| Document Number: | P05000072627 |
| FEI/EIN Number | 20-2857966 |
| Address: | 11167 Chester Lake Rd W, Jacksonville, FL 32256 |
| Mail Address: | 11167 Chester Lake Rd W, Jacksonville, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710125349 | 2009-02-04 | 2009-02-04 | PO BOX 850001, ORLANDO, FL, 328850001, US | 2040 RIVERVIEW ST, JACKSONVILLE, FL, 322082657, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-282-6331 |
| Fax | 9042821550 |
| Phone | +1 904-713-8074 |
| Fax | 9049248217 |
Authorized person
| Name | GLORIOSA R ANTIPORDA |
| Role | PRESIDENT |
| Phone | 9047138074 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME49981 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME47869 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANTIPORDA, GLORIOSA M.D. | Agent | 11167 Chester Lake Rd W, Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| ANTIPORDA, GLORIOSA M.D. | President | 11167 Chester Lake Rd W, Jacksonville, FL 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-01 | 11167 Chester Lake Rd W, Jacksonville, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-01 | 11167 Chester Lake Rd W, Jacksonville, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-01 | 11167 Chester Lake Rd W, Jacksonville, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-09-25 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
