| Entity Name: | ODEL RUANO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Jul 2007 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P07000086108 |
| FEI/EIN Number | 260630077 |
| Address: | 3067 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Mail Address: | 3067 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346433562 | 2007-08-21 | 2008-04-30 | PO BOX 380639, MURDOCK, FL, 339380639, US | 3067 TAMIAMI TRL, UNIT 3, PORT CHARLOTTE, FL, 339526601, US | |||||||||||||||||||
|
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| Phone | +1 941-258-3606 |
| Fax | 9412583370 |
Authorized person
| Name | DR. ODEL RUANO |
| Role | PRESIDENT |
| Phone | 9412583606 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FL |
| Number | 64255 |
| Name | Role | Address |
|---|---|---|
| RUANO ODEL | Agent | 3067 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| RUANO ODEL | Director | 3067 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-04-28 |
| Domestic Profit | 2007-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
