| Entity Name: | LIDIA OLIVEIRA, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Sep 1999 (25 years ago) |
| Document Number: | P99000082949 |
| FEI/EIN Number | 593597000 |
| Address: | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Mail Address: | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780872176 | 2007-10-10 | 2013-05-06 | PO BOX 22795, ORLANDO, FL, 328302795, US | 917 RINEHART RD, STE 2001, LAKE MARY, FL, 327464802, US | |||||||||||||||||||||||||
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| Phone | +1 407-248-9003 |
| Fax | 4072480445 |
Authorized person
| Name | DR. LIDIA FLORES OLIVEIRA |
| Role | PRESIDENT |
| Phone | 4072489003 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6402 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3714012-01 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLIVEIRA LIDIA | Agent | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| LIDIA OLIVEIRA, DO | Secretary | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| LIDIA OLIVEIRA, DO | Treasurer | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| LIDIA OLIVEIRA, DO | Director | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| LIDIA OLIVEIRA, DO | President | 8648 DOVER COURT, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-29 | OLIVEIRA, LIDIA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
