| Entity Name: | R. MAURICE BONILLA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Aug 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Oct 2017 (7 years ago) |
| Document Number: | P06000100682 |
| FEI/EIN Number | 061788819 |
| Address: | 905 W PLATT ST, TAMPA, FL, 33606 |
| Mail Address: | 905 W PLATT ST, TAMPA, FL, 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588759484 | 2006-10-04 | 2008-05-28 | 905 W PLATT ST, TAMPA, FL, 336062113, US | 905 W PLATT ST, TAMPA, FL, 336062113, US | |||||||||||||||||||
|
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| Phone | +1 813-254-0222 |
| Fax | 8132540204 |
Authorized person
| Name | CAROL JEANNE BONILLA |
| Role | ADMINISTRATOR |
| Phone | 8132540222 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0046378 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BONILLA R. MAURICE | Agent | 905 W PLATT ST, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| BONILLA R. MAURICE | Director | 905 W PLATT ST, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| BONILLA CAROL J | Secretary | 905 W PLATT ST, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| BONILLA CAROL J | Treasurer | 905 W PLATT ST, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-10-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-23 | BONILLA, R. MAURICE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2010-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-12 |
| REINSTATEMENT | 2017-10-23 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
