| Entity Name: | YOLANDA MOLINARIS M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 May 2017 (8 years ago) |
| Date of dissolution: | 05 May 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 May 2018 (7 years ago) |
| Document Number: | P17000042653 |
| Address: | 341 N. MAITLAND AVE, SUITE 200, MAITLAND, FL, 32751, US |
| Mail Address: | 341 N. MAITLAND AVE, SUITE 200, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063942381 | 2017-06-19 | 2018-03-28 | PO BOX 616788, ORLANDO, FL, 328616788, US | 1050 CYPRESS PKWY, KISSIMMEE, FL, 347593328, US | |||||||||||||||||||||||||
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| Phone | +1 407-483-1400 |
| Fax | 4074831405 |
Authorized person
| Name | DR. YOLANDA MOLINARIS |
| Role | PRESIDENT |
| Phone | 4072652100 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME118090 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002005000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PORTO RALPH F | Agent | 8133 CANYON LAKE CIRCLE, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| MOLINARIS YOLANDA | President | 341 N. MAITLAND AVE, SUITE 200, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| PORTO RALPH F | Vice President | 8133 CANYON LAKE CIRCLE, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-05 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-05 |
| Domestic Profit | 2017-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
