| Entity Name: | SRINIVAS DONTINENI, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SRINIVAS DONTINENI, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Jul 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Oct 2018 (7 years ago) |
| Document Number: | P08000068688 |
| FEI/EIN Number |
900403142
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2428 Clearlake Blvd, BLDG K, Cocoa, FL, 32922, US |
| Mail Address: | PO Box 560059, Rockledge, FL, 32956, US |
| ZIP code: | 32922 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639323041 | 2008-11-12 | 2020-08-02 | PO BOX 560059, ROCKLEDGE, FL, 329560059, US | 2800 AURORA RD STE F, MELBOURNE, FL, 329352015, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-751-9506 |
| Fax | 3217519505 |
| Phone | +1 321-368-3862 |
| Fax | 3212088717 |
Authorized person
| Name | DR. SRINIVAS RAO DONTINENI |
| Role | INTERNAL MEDICINE PHYSICIAN |
| Phone | 3217519506 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | BM919A |
| State | FL |
| Issuer | MEDICAID |
| Number | 004793700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DONTINENI SRINIVAS R | Director | 3358 Lamanga Dr, Melbourne, FL, 32940 |
| DONTINENI SRINIVAS R | Agent | 3358 Lamanga Dr, Melbourne, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000026973 | BREVARD HOSPITALIST ASSOCIATES | EXPIRED | 2010-03-24 | 2015-12-31 | - | 6550 N. WICKHAM RD, SUITE #2, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-20 | 2428 Clearlake Blvd, BLDG K, Cocoa, FL 32922 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-31 | 3358 Lamanga Dr, Melbourne, FL 32940 | - |
| REINSTATEMENT | 2018-10-31 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-10-31 | 2428 Clearlake Blvd, BLDG K, Cocoa, FL 32922 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-13 | DONTINENI, SRINIVAS R | - |
| REINSTATEMENT | 2016-10-13 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| AMENDMENT | 2008-12-11 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-10-31 |
| REINSTATEMENT | 2016-10-13 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-03-05 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
