| 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 |
| 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 | |||||||||||||||||||||||||||||||
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| 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 |
| 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 |
| 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 | - | - |
| 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 |
| 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
