| Entity Name: | MAXINE MINTO MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 May 2011 (14 years ago) |
| Date of dissolution: | 26 May 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 May 2016 (9 years ago) |
| Document Number: | P11000050187 |
| FEI/EIN Number | 900731237 |
| Address: | 10524 MOSS PARK ROAD, SUITE 204-719, ORLANDO, FL, 32832, US |
| Mail Address: | 10524 MOSS PARK ROAD, SUITE 204-719, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376828178 | 2011-10-12 | 2011-10-13 | 10524 MOSS PARK RD, SUITE 204-516, ORLANDO, FL, 328325898, US | 1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL, 327464713, US | |||||||||||||||||||||||||||
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| Phone | +1 407-536-5375 |
| Fax | 4075365301 |
Authorized person
| Name | DR. MAXINE JOAN MINTO |
| Role | PRESIDENT |
| Phone | 4075365375 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | ME69898 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | ME69898 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MINTO MAXINE | Agent | 10524 MOSS PARK ROAD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| MINTO MAXINE | President | 10524 MOSS PARK ROAD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| MINTO MAXINE | Director | 10524 MOSS PARK ROAD, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-05-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 10524 MOSS PARK ROAD, SUITE 204-719, ORLANDO, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 10524 MOSS PARK ROAD, SUITE 204-719, ORLANDO, FL 32832 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 10524 MOSS PARK ROAD, SUITE 204-719, ORLANDO, FL 32832 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-05-26 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-19 |
| ANNUAL REPORT | 2013-03-24 |
| ANNUAL REPORT | 2012-05-15 |
| Domestic Profit | 2011-05-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
