| Entity Name: | ORLANDO PORTAL , MD, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2013 (11 years ago) |
| Document Number: | P13000078154 |
| FEI/EIN Number | 46-3733359 |
| Address: | 13150 Vail Ridge Drive, RIVERVIEW, FL, 33579, US |
| Mail Address: | 5410 TYBEE ISLAND DR, APOLLO BEACH, FL, 33572, US |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346651650 | 2014-05-08 | 2024-05-07 | PO BOX 3695, APOLLO BEACH, FL, 335721010, US | 13150 VAIL RIDGE DR, RIVERVIEW, FL, 335797187, US | |||||||||||||||||||
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| Phone | +1 813-374-8883 |
| Fax | 8134438361 |
Authorized person
| Name | ORLANDO PORTAL |
| Role | OWNER & PRESIDENT |
| Phone | 8133748883 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME100005 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PORTAL ORLANDO | Agent | 5410 TYBEE ISLAND DR, APOLLO BEACH, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| PORTAL ORLANDO | President | 5410 TYBEE ISLAND DR, APOLLO BEACH, FL, 33572 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-07-31 | 13150 Vail Ridge Drive, RIVERVIEW, FL 33579 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-31 | 5410 TYBEE ISLAND DR, APOLLO BEACH, FL 33572 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-28 | 13150 Vail Ridge Drive, RIVERVIEW, FL 33579 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-07-31 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-07-28 |
| ANNUAL REPORT | 2017-08-20 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
