| Entity Name: | ASSOCIATES FOR UROLOGY CARE OF OCALA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Apr 1999 (26 years ago) |
| Document Number: | P99000040215 |
| FEI/EIN Number | 59-3579412 |
| Address: | 1901 SE 18TH AVE, 300, OCALA, FL 34471 |
| Mail Address: | 1901 SE 18th Ave, Bldg 300, Ocala, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619080231 | 2006-08-16 | 2008-10-08 | 1901 SE 18TH AVE, BLDG 300, OCALA, FL, 344718215, US | 1901 SE 18TH AVE, BLDG 300, OCALA, FL, 344718215, US | |||||||||||||||||||||||||||
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| Phone | +1 352-351-1313 |
| Fax | 3523511927 |
Authorized person
| Name | AIMEE L BROWN |
| Role | BILLING MANAGER |
| Phone | 3523511313 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP # |
| Number | 38865 |
| State | FL |
| Issuer | MEDICAID |
| Number | 257902200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DERSCH, MARK, Dr. | Agent | 1901 SE 18TH AVE SUITE 300, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Dersch, Mark, Dr. | Treasurer | 1901 SE 18TH AVE SUITE 300, 300 OCALA, FL 34471 |
| Rao, Dinesh, Dr. | Treasurer | 1901 SE 18TH AVE, 300 OCALA, FL 34471 |
| Karavadia, Saumil, Dr. | Treasurer | 1901 SE 18TH AVE, 300 OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Taub, Harvey, Dr. | Vice President | 1901 SE 18TH AVE SUITE 300, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| King, Edward, Dr. | Trustee | 1901 SE 18TH AVE, 300 OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-04-13 | 1901 SE 18TH AVE, 300, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-31 | DERSCH, MARK, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-09-15 | 1901 SE 18TH AVE, 300, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-09-15 | 1901 SE 18TH AVE SUITE 300, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
