| Entity Name: | K. RANJIT FERNANDO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jul 1979 (46 years ago) |
| Document Number: | 630439 |
| FEI/EIN Number | 591922275 |
| Address: | 3754 HAROLD AVENUE, FT MYERS, FL, 33901, US |
| Mail Address: | 3754 HAROLD AVENUE, FT MYERS, FL, 33901, US |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073828026 | 2010-08-15 | 2010-08-20 | 3722 CENTRAL AVE, SUITE 2, FORT MYERS, FL, 339018247, US | 3722 CENTRAL AVE, SUITE 2, FORT MYERS, FL, 339018247, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-936-1920 |
| Fax | 2399360371 |
Authorized person
| Name | KALUGAMAGE RANJIT FERNANDO |
| Role | PRESIDENT |
| Phone | 2399361920 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | ME30595 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDO, K RANJIT | Agent | 3754 HAROLD AVENUE, FT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| FERNANDO K. RANJIT | President | 3754 HAROLD AVENUE, FT MYERS,, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| FERNANDO K. RANJIT | Director | 3754 HAROLD AVENUE, FT MYERS,, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| FERNANDO E L | Secretary | 3754 HAROLD AVENUE, FT MYERS, FL, 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-03-07 | No data | No data |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
