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T.R.MATIONG MD PA - Florida Company Profile

Company Details

Entity Name: T.R.MATIONG MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

T.R.MATIONG 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 03 Nov 2009 (15 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P09000090698
FEI/EIN Number 271243673

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10201 STATE ROAD 52, HUDSON, FL, 34669
Mail Address: 10201 STATE ROAD 52, HUDSON, FL, 34669
ZIP code: 34669
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770868416 2011-10-13 2013-07-08 10201 STATE ROAD 52, HUDSON, FL, 346693071, US 10201 STATE ROAD 52, HUDSON, FL, 346693071, US

Contacts

Phone +1 727-857-1818
Fax 7278571609

Authorized person

Name DR. TEODULO R MATIONG JR.
Role PRACTITIONER
Phone 7278571818

Taxonomy

Taxonomy Code 302F00000X - Exclusive Provider Organization
Is Primary Yes

Other Provider Identifiers

Issuer HUMANA PPO
Number 593613012
Issuer WELLCARE
Number 451024515
Issuer BLUE CROSS BLUE SHIELD
Number 10624
Issuer UHCARE
Number 05931

Key Officers & Management

Name Role Address
MATIONG TEODULO RDr. President 10201 STATE ROAD 52, HUDSON, FL, 34669
MATIONG TEODULO RDr. Director 10201 STATE ROAD 52, HUDSON, FL, 34669
MATIONG TEODULO R Agent 10201 STATE ROAD 52, HUDSON, FL, 34669

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REINSTATEMENT 2011-12-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
REINSTATEMENT 2010-10-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000283327 TERMINATED 1000000742864 PASCO 2017-05-10 2037-05-18 $ 4,786.10 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2014-03-31
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-04-30
REINSTATEMENT 2011-12-01
REINSTATEMENT 2010-10-29
Domestic Profit 2009-11-03

Date of last update: 03 Mar 2025

Sources: Florida Department of State