| Entity Name: | ARTHRITIS CENTER OF ORLANDO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Oct 2012 (12 years ago) |
| Document Number: | P12000089130 |
| FEI/EIN Number | 46-1254381 |
| Address: | 1550 CITRUS MEDICAL COURT, OCOEE, FL, 34761, US |
| Mail Address: | P.O Box 645, Gotha, FL, 34734, US |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134595093 | 2015-08-14 | 2018-06-19 | PO BOX 645, GOTHA, FL, 347340645, US | 1550 CITRUS MEDICAL CT, OCOEE, FL, 34761, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-296-1540 |
| Fax | 4072962549 |
| Phone | +1 407-757-0277 |
| Fax | 4077570271 |
Authorized person
| Name | DR. NIMESH A DAYAL |
| Role | OWNER |
| Phone | 4077570277 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | ME114449 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007376600 |
| State | FL |
| Issuer | NPI |
| Number | 1215145636 |
| State | FL |
| Issuer | GROUP NPI |
| Number | 1134595093 |
| State | FL |
| Issuer | LISCENCE |
| Number | ME114449 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAYAL NIMESH | Agent | 9507 Lake hugh dr, Gotha, FL, 34734 |
| Name | Role | Address |
|---|---|---|
| DAYAL NIMESH A | President | 9507 Lake Hugh Dr, Gotha, FL, 34734 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-23 | 9507 Lake hugh dr, Gotha, FL 34734 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-04 | 1550 CITRUS MEDICAL COURT, OCOEE, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-09 | 1550 CITRUS MEDICAL COURT, OCOEE, FL 34761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-08-05 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-15 |
| Reg. Agent Change | 2016-01-27 |
| ANNUAL REPORT | 2016-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
