| Entity Name: | RAMON A CHIONG, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Jun 2006 (19 years ago) |
| Date of dissolution: | 30 Nov 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Nov 2023 (a year ago) |
| Document Number: | P06000086441 |
| FEI/EIN Number | 20-5129568 |
| Address: | 555 NW LAKE WHITNEY PLACE, SUITE 102, PORT SAINT LUCIE, FL 34986 |
| Mail Address: | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730326166 | 2009-01-07 | 2009-01-07 | 2100 NEBRASKA AVE STE 113, FORT PIERCE, FL, 349504831, US | 2100 NEBRASKA AVE STE 113, FORT PIERCE, FL, 349504831, US | |||||||||||||||||||||||||
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| Phone | +1 772-460-0321 |
| Fax | 7724600332 |
Authorized person
| Name | DR. RAMON A CHIONG |
| Role | PRESIDENT |
| Phone | 7724600321 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | OS7826 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256169700 |
| State | FL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHIONG, RAMON A | President | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| CHIONG, RAMON A | Secretary | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| CHIONG, RAMON A | Vice President | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| CHIONG, RAMON A | Treasurer | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| CHIONG, RAMON A | Director | 7687 Wyldwood Way, PORT ST. LUCIE, FL 34986 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000161794 | PHYSICIANS FOR CHILDREN | ACTIVE | 2020-12-21 | 2025-12-31 | No data | 7687 WYLDWOOD WAY, PORT SAINT LUCIE, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-30 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-07 | 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-26 | 555 NW LAKE WHITNEY PLACE, SUITE 102, PORT SAINT LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-26 | 555 NW LAKE WHITNEY PLACE, SUITE 102, PORT SAINT LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2023-11-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-27 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
