| Entity Name: | GERARDO ROJAS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 May 2022 (3 years ago) |
| Document Number: | P22000038190 |
| FEI/EIN Number | 88-2634667 |
| Address: | 8751 Commodity Cir Ste 15, Orlando, FL, 32819, US |
| Mail Address: | 8751 Commodity Cir Ste 15, Orlando, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881452555 | 2024-03-07 | 2024-09-04 | 8751 COMMODITY CIR STE 15, ORLANDO, FL, 328199027, US | 8751 COMMODITY CIR STE 15, ORLANDO, FL, 328199027, US | |||||||||||||||
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| Phone | +1 407-704-1190 |
| Fax | 4077041191 |
Authorized person
| Name | GERARDO ROJAS |
| Role | MEDICAL DIRECTOR |
| Phone | 4073628161 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROJAS GERARDO | Agent | 3790 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| ROJAS GERARDO | Treasurer | 3790 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| ROJAS JUDITH | Vice President | 3790 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| ROJAS GERARDO | President | 3790 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000155438 | FORMIDABLE HEALTH | ACTIVE | 2023-12-21 | 2028-12-31 | No data | 8751 COMMODITY CIRCLE, SUITE 15, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-22 | 8751 Commodity Cir Ste 15, Orlando, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-22 | 8751 Commodity Cir Ste 15, Orlando, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-12 |
| Domestic Profit | 2022-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
