| Entity Name: | RODRIGO BALTODANO INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jun 2005 (20 years ago) |
| Document Number: | P05000088673 |
| FEI/EIN Number | 203035546 |
| Address: | 3125 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Mail Address: | 3125 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265446918 | 2006-07-28 | 2011-12-22 | 3125 CITRUS TOWER BLVD, CLERMONT, FL, 347116803, US | 3125 CITRUS TOWER BOULEVARD, BLDG C, CLERMONT, FL, 34711, US | |||||||||||||||||||||||||
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| Phone | +1 352-394-0043 |
| Fax | 3523940640 |
Authorized person
| Name | DR. RODRIGO BALTODANO |
| Role | OWNER |
| Phone | 3523940043 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME88226 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DMEPOS |
| Number | 6179630001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALTODANO RODRIGO | Agent | 3125 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| BALTODANO RODRIGO | Director | 3125 CITRUS TOWER BLVD., CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-06 | 3125 CITRUS TOWER BLVD, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-06 | 3125 CITRUS TOWER BLVD, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-06 | 3125 CITRUS TOWER BLVD, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-05 | BALTODANO, RODRIGO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1776577308 | 2020-04-28 | 0491 | PPP | 3125 Citrus Tower Blvd, Clermont, FL, 34711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
