| Entity Name: | J. BOLARAM, MD & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2010 (14 years ago) |
| Document Number: | P10000080976 |
| FEI/EIN Number | 273598419 |
| Address: | 12212 Triton Lane, Orlando, FL, 32837, US |
| Mail Address: | 12212 Trinton Lane, Orlando, FL, 32837, US |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558652586 | 2011-04-25 | 2015-01-05 | 2643 WYNDSOR OAKS WAY, WINTER HAVEN, FL, 338843080, US | 6801 US HIGHWAY 27 N, SUITE A2, SEBRING, FL, 338707840, US | |||||||||||||||||
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| Phone | +1 863-214-3230 |
Authorized person
| Name | DR. JAYANTH BOLARAM |
| Role | DIRECTOR |
| Phone | 8632143230 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME92560 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOLARAM JAYANTH | Agent | 12212 Triton Lane, Orlando, FL, 32837 |
| Name | Role | Address |
|---|---|---|
| BOLARAM JAYANTH M | Owne | 12212 Triton Lane, Orlando, FL, 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 12212 Triton Lane, Orlando, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 12212 Triton Lane, Orlando, FL 32837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 12212 Triton Lane, Orlando, FL 32837 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-05-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6094368600 | 2021-03-20 | 0455 | PPS | 198 1st St S, Winter Haven, FL, 33880-3004 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
