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KISSIMMEE MEDICAL CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: KISSIMMEE MEDICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jun 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 22 Oct 2018 (7 years ago)
Document Number: P99000051039
FEI/EIN Number 593579858
Address: 1910 WEST OAK ST, KISSIMMEE, FL, 34741
Mail Address: 1910 WEST OAK ST, KISSIMMEE, FL, 34741
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SINGH SHANTI Doct 1910 WEST OAK ST, KISSIMMEE, FL, 34741
SINGH SHANTI Agent 14600 BRADDOCK OAKS DRIVE, ORLANDO, FL, 32837

National Provider Identifier

NPI Number:
1558345173

Authorized Person:

Name:
SHANTI SINGH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4073434335

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-10-22 SINGH, SHANTI -
REINSTATEMENT 2018-10-22 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2011-04-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2004-05-03 1910 WEST OAK ST, KISSIMMEE, FL 34741 -
CHANGE OF MAILING ADDRESS 2004-05-03 1910 WEST OAK ST, KISSIMMEE, FL 34741 -
REGISTERED AGENT ADDRESS CHANGED 2000-05-08 14600 BRADDOCK OAKS DRIVE, ORLANDO, FL 32837 -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-02
REINSTATEMENT 2018-10-22
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State