| Entity Name: | OCALA NATURAL MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 May 2006 (19 years ago) |
| Document Number: | P06000066943 |
| FEI/EIN Number | 061781730 |
| Address: | 2728 SE 23RD AVE, OCALA, FL, 34471, US |
| Mail Address: | 2728 SE 23RD AVE, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295066710 | 2010-01-22 | 2010-01-22 | 2721 SE 23RD AVE, OCALA, FL, 344710710, US | 2721 SE 23RD AVE, OCALA, FL, 344710710, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 352-414-9998 |
| Fax | 3528671015 |
Authorized person
| Name | DR. JOHN ANDREW PODLASKI |
| Role | OWNER |
| Phone | 3524149998 |
Taxonomy
| Taxonomy Code | 111NI0900X - Internist Chiropractor |
| License Number | CH 4801 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111NN1001X - Nutrition Chiropractor |
| License Number | CH4801 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | 55690 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALZMAN ANTHONY J | Agent | 2770 NW 43rd St, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| PODLASKI JOHN A | Director | 2728 SE 23RD AVE, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000066222 | NATURAL MEDICINE INSTITUTE | EXPIRED | 2014-06-26 | 2024-12-31 | No data | 2728 SE 23RD AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-13 | 2770 NW 43rd St, A, GAINESVILLE, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 2728 SE 23RD AVE, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 2728 SE 23RD AVE, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3977447408 | 2020-05-08 | 0491 | PPP | 2728 Southeast 23rd Avenue, Ocala, FL, 34471 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
