| Entity Name: | ADVANCED ALLERGY & ASTHMA CARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Apr 1999 (26 years ago) |
| Date of dissolution: | 31 Oct 2014 (10 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 31 Oct 2014 (10 years ago) |
| Document Number: | P99000032351 |
| FEI/EIN Number | 22-3647644 |
| Address: | 6233 66TH STREET NORTH, PINELLAS PARK, FL 33781 |
| Mail Address: | 6233 66TH STREET NORTH, PINELLAS PARK, FL 33781 |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427161181 | 2006-08-16 | 2022-09-16 | 6233 66TH ST NORTH, PINELLAS PARK, FL, 337815025, US | 6233 66TH ST NORTH, PINELLAS PARK, FL, 337815025, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 727-544-8100 |
| Fax | 7275448200 |
Authorized person
| Name | DR. LATHA M CHAMARTHY |
| Role | PRESIDENT |
| Phone | 7275448100 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | No |
| Taxonomy Code | 207KA0200X - Allergy Physician |
| License Number | ME65838 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207KA0200X - Allergy Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0201X - Pediatric Allergy/Immunology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256994901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 256994900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANKA, MADHURIMA | Agent | 6233 66TH STREET NORTH, PINELLS PARK, FL 33781 |
| Name | Role | Address |
|---|---|---|
| CHAMARTHY, LATHA M | Director | 6233 66TH STREET NORTH, PINELLAS PARK, FL 33781 |
| SANKA, MADHURIMA | Director | 6233 66TH STREET, PINELLAS PARK, FL 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2014-10-31 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L14000172192. CONVERSION NUMBER 300000146043 |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-10 | 6233 66TH STREET NORTH, PINELLS PARK, FL 33781 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-20 | 6233 66TH STREET NORTH, PINELLAS PARK, FL 33781 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-10 | SANKA, MADHURIMA | No data |
| CANCEL ADM DISS/REV | 2007-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2006-12-11 | ADVANCED ALLERGY & ASTHMA CARE PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-15 | 6233 66TH STREET NORTH, PINELLAS PARK, FL 33781 | No data |
| NAME CHANGE AMENDMENT | 2000-01-21 | ADVANCED ALLERGY & ASTHMA CARE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-01 |
| ANNUAL REPORT | 2013-02-18 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-02-20 |
| ANNUAL REPORT | 2009-01-10 |
| ANNUAL REPORT | 2008-01-03 |
| REINSTATEMENT | 2007-09-28 |
| Amendment and Name Change | 2006-12-11 |
| ANNUAL REPORT | 2006-01-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
