| Entity Name: | MEDICAL & INJURY CENTERS OF FLORIDA, P.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Sep 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | F11000003613 |
| FEI/EIN Number |
452883248
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4809 N. Armenia Ave, Suite 210, Tampa, FL, 33603, US |
| Mail Address: | 3060 Peachtree St, Atlanta, GA, 30305, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629345681 | 2011-11-18 | 2012-05-02 | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 303544302, US | 5132 US HIGHWAY 19, 21ST CENTURY PAVILLION, NEW PORT RICHEY, FL, 346523942, US | |||||||||||||||||||||||
|
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| Phone | +1 770-938-2625 |
| Fax | 4045493393 |
| Phone | +1 727-807-7932 |
| Fax | 7278077939 |
Authorized person
| Name | DR. SHAILESH KOTHARI |
| Role | CEO |
| Phone | 7709382625 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOTHARI SHAILESH | Director | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| KOTHARI SHAILESH | President | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| KOTHARI SHAILESH | Secretary | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| ARUNACHALAM KRISHNAN | Director | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| ARUNACHALAM KRISHNAN | Treasurer | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| Mcmenamin Timothy | Agent | 5132 US Highway 19 North, New Port Richey, FL, 34652 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000053019 | PRIMERA MEDICAL GROUP, INC | EXPIRED | 2014-06-02 | 2019-12-31 | - | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G13000016519 | JACKSONVILLE MEDICAL CENTERS, LLC | EXPIRED | 2013-02-15 | 2018-12-31 | - | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G13000005720 | WEST PASCO MEDICAL CENTER, LLC | EXPIRED | 2013-01-16 | 2018-12-31 | - | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G12000091428 | GAINESVILLE MEDICAL CENTERS, LLC | EXPIRED | 2012-09-18 | 2017-12-31 | - | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G12000067146 | KISSIMEE PRIMARY CARE CENTER | EXPIRED | 2012-07-05 | 2017-12-31 | - | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-10 | 5132 US Highway 19 North, New Port Richey, FL 34652 | - |
| CHANGE OF MAILING ADDRESS | 2016-07-05 | 4809 N. Armenia Ave, Suite 210, Tampa, FL 33603 | - |
| REGISTERED AGENT NAME CHANGED | 2016-07-05 | Mcmenamin, Timothy | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-06 | 4809 N. Armenia Ave, Suite 210, Tampa, FL 33603 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-07-05 |
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-02-21 |
| ANNUAL REPORT | 2012-03-12 |
| Foreign Profit | 2011-09-06 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
