| Entity Name: | RICARDO NAVARRO, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jan 2018 (7 years ago) |
| Document Number: | P18000000593 |
| FEI/EIN Number | 82-3897619 |
| Address: | 1137 Druid Circle, LAKE WALES, FL 33853 |
| Mail Address: | 1137 Druid Circle, LAKE WALES, FL 33853 |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760947857 | 2019-02-04 | 2022-09-06 | 1137 DRUID CIR, LAKE WALES, FL, 338534339, US | 1137 DRUID CIR, LAKE WALES, FL, 338534339, US | |||||||||||||||||||||||||||
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| Phone | +1 863-949-6541 |
| Fax | 8639496538 |
Authorized person
| Name | DR. RICARDO NAVARRO |
| Role | PRESIDENT |
| Phone | 8639496541 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1346628971 |
| State | FL |
| Issuer | FLORIDA BOARD OF OSTEOPATHIC MEDICINE |
| Number | OS14384 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NAVARRO, RICARDO | Agent | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| NAVARRO, RICARDO, D.O. | President | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| NAVARRO, RICARDO, D.O. | Secretary | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| NAVARRO, RICARDO, D.O. | Treasurer | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| NAVARRO, RICARDO, D.O. | Director | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000098764 | NAVARRO MEDICAL | ACTIVE | 2018-09-06 | 2028-12-31 | No data | 1137 DRUID CIRCLE, LAKE WALES, FL, 33853 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-07 | NAVARRO, RICARDO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 1137 DRUID CIRCLE, LAKE WALES, FL 33853 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 1137 Druid Circle, LAKE WALES, FL 33853 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 1137 Druid Circle, LAKE WALES, FL 33853 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-12 |
| Domestic Profit | 2018-01-03 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
