| Entity Name: | BAY AREA MEDICAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Mar 1995 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Oct 2003 (21 years ago) |
| Document Number: | P95000025029 |
| FEI/EIN Number | 59-3304108 |
| Address: | 2595 TAMPA RD, SUITE S & T, PALM HARBOR, FL 34684 |
| Mail Address: | 2595 TAMPA RD, SUITE S & T, PALM HARBOR, FL 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366631004 | 2007-10-18 | 2007-10-18 | 2595 TAMPA RD, SUITE S&T, PALM HARBOR, FL, 346843152, US | 2595 TAMPA RD, SUITE S&T, PALM HARBOR, FL, 346843152, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-781-4299 |
| Fax | 7277815387 |
Authorized person
| Name | DR. ANITA KUNDRA |
| Role | PRESIDENT |
| Phone | 7277814299 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0067270 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME 0067723 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 33817 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GULECAS, JAMES FESQ | Agent | 1968 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| KUNDRA, ANITA | President | 2595 TAMPA RD, SUITE S & T PALM HARBOR, FL 34684 |
| Name | Role | Address |
|---|---|---|
| KUNDRA, NAVNIT KUMAR | Vice President | 2595 TAMPA RD, SUITE S & T PALM HARBOR, FL 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2004-02-06 | GULECAS, JAMES FESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-06 | 1968 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 | No data |
| REINSTATEMENT | 2003-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| AMENDMENT | 2003-07-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-05-19 | 2595 TAMPA RD, SUITE S & T, PALM HARBOR, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2002-05-19 | 2595 TAMPA RD, SUITE S & T, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-07-13 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
