| Entity Name: | HARAVU D. LOKESH MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Oct 1998 (26 years ago) |
| Document Number: | P98000087479 |
| FEI/EIN Number | 593536282 |
| Address: | 4804 ROWAN ROAD, NEW PORT RICHEY, FL, 34653 |
| Mail Address: | 4804 ROWAN ROAD, NEW PORT RICHEY, FL, 34653 |
| ZIP code: | 34653 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093925463 | 2007-05-23 | 2011-12-23 | 4804 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US | 4804 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-375-5242 |
| Fax | 7273755198 |
Authorized person
| Name | DR. HARAVU D LOKESH |
| Role | PRESIDENT |
| Phone | 7273755242 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0076210 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004113500 |
| State | FL |
| Issuer | MEDICAID |
| Number | ME0076210 |
| State | FL |
| Issuer | MEDICAID |
| Number | 263233100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254759701 |
| State | FL |
| Issuer | MEDICAID |
| Number | 275911000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARAVU D LOKESH MD PA 401(K) PLAN | 2009 | 593536282 | 2010-07-22 | HARAVU D LOKESH MD PA | 9 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593536282 |
| Plan administrator’s name | HARAVU D LOKESH MD PA |
| Plan administrator’s address | 4804 ROWAN RD, NEW PORT RICHEY, FL, 34653 |
| Administrator’s telephone number | 7273755242 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-22 |
| Name of individual signing | HARAVU D LOKESH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LOKESH HARAVU D | Agent | 3893 MULLENHURST DRIVE, PALM HARBOR, FL, 34685 |
| Name | Role | Address |
|---|---|---|
| LOKESH HARAVU DDr. | Manager | 3893 MULLENHURST DRIVE, PALM HARBOR, FL, 34685 |
| Name | Role | Address |
|---|---|---|
| LOKESH HARAVU DDr. | Director | 3893 MULLENHURST DRIVE, PALM HARBOR, FL, 34685 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000051496 | A TO Z PEDIATRICS | ACTIVE | 2024-04-17 | 2029-12-31 | No data | 4804, ROWAN ROAD, NEW PORT RICHEY 34653 FLORID, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-27 | 4804 ROWAN ROAD, NEW PORT RICHEY, FL 34653 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-27 | 4804 ROWAN ROAD, NEW PORT RICHEY, FL 34653 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-03-13 | 3893 MULLENHURST DRIVE, PALM HARBOR, FL 34685 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
