| Entity Name: | KIM ALONSO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jul 1994 (31 years ago) |
| Document Number: | P94000050154 |
| FEI/EIN Number | 59-2747058 |
| Address: | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Mail Address: | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| ZIP code: | 33592 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366937922 | 2018-06-26 | 2018-06-26 | 10305 TIMMONS RD, THONOTOSASSA, FL, 335923354, US | 10305 TIMMONS RD, THONOTOSASSA, FL, 335923354, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-690-9722 |
Authorized person
| Name | KIMBERLY KARRA ALONSO |
| Role | PRESIDENT |
| Phone | 8136909722 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | OT1123 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 671024796 |
| State | FL |
| Issuer | MEDICAID |
| Number | 880169000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALONSO, KIM | Agent | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Name | Role | Address |
|---|---|---|
| ALONSO, KIM | President | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Name | Role | Address |
|---|---|---|
| ALONSO, KIM | Secretary | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Name | Role | Address |
|---|---|---|
| ALONSO, KIM | Treasurer | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Name | Role | Address |
|---|---|---|
| ALONSO, KIM | Director | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 1995-03-17 | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 | No data |
| CHANGE OF MAILING ADDRESS | 1995-03-17 | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 | No data |
| REGISTERED AGENT NAME CHANGED | 1995-03-17 | ALONSO, KIM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-03-17 | 10305 TIMMONS RD, THONOTOSASSA, FL 33592 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-02-22 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
