| Entity Name: | AMERI MINDCARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jan 2006 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P06000000343 |
| FEI/EIN Number | 204031755 |
| Address: | 3389 W. VINE ST, SUITE 304, KISSIMMEE, FL, 34741 |
| Mail Address: | 3389 W. VINE ST, SUITE 304, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215193859 | 2008-08-04 | 2013-10-31 | 3389 W VINE ST, SUITE 304, KISSIMMEE, FL, 347414665, US | 3389 W VINE ST, SUITE 304, KISSIMMEE, FL, 347414665, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-932-2799 |
| Fax | 4079320303 |
Authorized person
| Name | DR. RAMARAO MAKKENA |
| Role | PSYCHIATRIST |
| Phone | 4079322799 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME93520 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME93520 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 38008 |
| State | FL |
| Issuer | MEDICAID |
| Number | 009151600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAKKENA RAMARAO | Agent | 9042 southern breeze dr, orlando, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| MAKKENA RAMARAO | President | 9042 southern breeze dr, orlando, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 9042 southern breeze dr, orlando, FL 32836 | No data |
| NAME CHANGE AMENDMENT | 2013-09-27 | AMERI MINDCARE PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-26 | 3389 W. VINE ST, SUITE 304, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-26 | 3389 W. VINE ST, SUITE 304, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
