| Entity Name: | BAY AREA ALLERGY AND ASTHMA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Feb 2006 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 31 Oct 2022 (2 years ago) |
| Document Number: | P06000020896 |
| FEI/EIN Number | 20-4303417 |
| Address: | 4965 CENTRAL AVE., ST. PETERSBURG, FL 33710 |
| Mail Address: | 4965 CENTRAL AVE., ST. PETERSBURG, FL 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083751580 | 2007-01-31 | 2014-04-17 | 4965 CENTRAL AVE, ST PETERSBURG, FL, 337108239, US | 4965 CENTRAL AVE, ST PETERSBURG, FL, 337108239, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 727-327-5719 |
| Fax | 7273226146 |
Authorized person
| Name | DR. MONA VISHIN MANGAT |
| Role | PRESIDENT |
| Phone | 7273275719 |
Taxonomy
| Taxonomy Code | 207KA0200X - Allergy Physician |
| License Number | ME88726 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270694600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 009866000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Agent | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | President | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Vice President | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Secretary | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Treasurer | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Manager | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| MANGAT, MONA | Director | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 300 Lamara Way NE, ST. PETERSBURG, FL 33704 | No data |
| NAME CHANGE AMENDMENT | 2022-10-31 | BAY AREA ALLERGY AND ASTHMA INC. | No data |
| REINSTATEMENT | 2020-10-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2016-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-10-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-28 | MANGAT, MONA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-05 | 4965 CENTRAL AVE., ST. PETERSBURG, FL 33710 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-26 |
| Name Change | 2022-10-31 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-16 |
| REINSTATEMENT | 2020-10-19 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-11 |
| REINSTATEMENT | 2016-10-24 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
