| Entity Name: | COMBINED HEALTH CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Nov 2018 (6 years ago) |
| Document Number: | P18000091912 |
| FEI/EIN Number | 83-2478421 |
| Address: | 1417 N SEMORAN BLVD, 104, ORLANDO, FL, 32807 |
| Mail Address: | 1417 N SEMORAN BLVD, 104, ORLANDO, FL, 32807 |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407324213 | 2018-11-09 | 2023-10-19 | 1417 N SEMORAN BLVD STE 104, ORLANDO, FL, 328073555, US | 1417 N SEMORAN BLVD STE 104, ORLANDO, FL, 328073555, US | |||||||||||||||||||||||||
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| Phone | +1 407-587-9848 |
| Fax | 4077052152 |
Authorized person
| Name | ADRIAN DELGADO |
| Role | ADMINISTRATOR |
| Phone | 4077047633 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 119018700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOTOLONGO CARLOS A | Agent | 1417 N SEMORAN BLVD, ORLANDO, FL, 32807 |
| Name | Role | Address |
|---|---|---|
| SOTOLONGO CARLOS A | President | 1417 N SEMORAN BLVD, SUITE 104, ORLANDO, FL, 32807 |
| DELGADO ADRIAN | President | 1417 N SEMORAN BLVD, SUITE 104, ORLANDO, FL, 32807 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-15 |
| Domestic Profit | 2018-11-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
