| Entity Name: | ALLERGY, ASTHMA AND IMMUNOLOGY CONSULTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Mar 1991 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | S40778 |
| FEI/EIN Number | 59-3056819 |
| Address: | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 |
| Mail Address: | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982842605 | 2009-02-03 | 2010-07-27 | 1173 NW 64TH TER, GAINESVILLE, FL, 326054218, US | 1173 NW 64TH TER, GAINESVILLE, FL, 326054218, US | |||||||||||||||||||
|
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| Phone | +1 352-331-2485 |
| Fax | 3523310047 |
Authorized person
| Name | DR. MADHUKAR E PUNJA |
| Role | PHYSICIAN/OWNER |
| Phone | 3523312485 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 0055179 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LeFave, Elizabeth A, Dr. | Agent | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 |
| Name | Role | Address |
|---|---|---|
| LeFave, Elizabeth A, Dr. | Chief Executive Officer | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-18 | LeFave, Elizabeth A, Dr. | No data |
| REINSTATEMENT | 2023-09-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-18 | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2003-03-18 | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-18 | 1173 NW 64TH TERRACE, GAINESVILLE, FL 32605 | No data |
| NAME CHANGE AMENDMENT | 1991-04-12 | ALLERGY, ASTHMA AND IMMUNOLOGY CONSULTANTS, INC. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2024-02-06 |
| REINSTATEMENT | 2023-09-22 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-26 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-01-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
