| Entity Name: | BALDWIN PARK FAMILY PRACTICE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Apr 2006 (19 years ago) |
| Document Number: | P06000059048 |
| FEI/EIN Number | 141960799 |
| Address: | 1040 WOODCOCK RD., 200, ORLANDO, FL, 32803, US |
| Mail Address: | 1040 WOODCOCK RD., 200, ORLANDO, FL, 32803, US |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982613154 | 2006-08-06 | 2020-08-22 | 1040 WOODCOCK RD, STE. 200, ORLANDO, FL, 328033525, US | 1040 WOODCOCK RD, STE. 200, ORLANDO, FL, 328033525, US | |||||||||||||||||||
|
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| Phone | +1 407-898-4550 |
| Fax | 4078984842 |
Authorized person
| Name | DR. PRIYA MAHARAJ |
| Role | PHYSICIAN/PRESIDENT |
| Phone | 4078984550 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS9299 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAHARAJ RABIDUTT | Agent | 1040 Woodcock Road, Orlando, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| MAHARAJ, PRIYA | President | 1040 Woodcock Road, Orlando, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-12 | 1040 Woodcock Road, Ste 200, Orlando, FL 32803 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-15 | MAHARAJ, RABIDUTT | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-07 | 1040 WOODCOCK RD., 200, ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2007-05-07 | 1040 WOODCOCK RD., 200, ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
